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1477269405
LYL PHOENIX LLC
MESA, AZ
NPI
1477269405
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Entity Type
Organization
Authorized Contact
JOHN J DEBARROS
Provider/Owner
480-485-8585
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2023-01-24
Last Update Date
2023-01-24
Business Address
LYL PHOENIX LLC
4860 E BASELINE RD STE 105
MESA, AZ 85206-4670
Phone number: 480-485-8585
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Mailing Address
LYL PHOENIX LLC
PO BOX 40640
MESA, AZ 85274-0640
Phone number: 888-978-1565
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