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1477093193
IWC WEST LLC
PHOENIX, AZ
NPI
1477093193
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Entity Type
Organization
Authorized Contact
SHUE KOTHARI
Owner
404-423-6840
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2017-02-28
Last Update Date
2017-02-28
Business Address
IWC WEST LLC
2338 W ROYAL PALM ROAD SUITE J
PHOENIX, AZ 85021
Phone number: 404-423-6840
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Mailing Address
IWC WEST LLC
2338 W ROYAL PALM ROAD SUITE J
PHOENIX, AZ 85021
Phone number:
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