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1487314878
INNOVATIVE PRIMARY CARE OF LAKE HAVASU LLC
LAKE HAVASU CITY, AZ
NPI
1487314878
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Entity Type
Organization
Authorized Contact
LOIDA L ARQUIZA
Owner
240-535-0065
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center Primary Care
Enumeration Date
2021-12-27
Last Update Date
2021-12-27
Business Address
INNOVATIVE PRIMARY CARE OF LAKE HAVASU LLC
1945 MESQUITE AVE STE B
LAKE HAVASU CITY, AZ 86403-5889
Phone number: 928-733-6287
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Mailing Address
INNOVATIVE PRIMARY CARE OF LAKE HAVASU LLC
1945 MESQUITE AVE STE B
LAKE HAVASU CITY, AZ 86403-5889
Phone number: 928-733-6287
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