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1487339123
SUPERIOR OUTPATIENT CENTER LLC
PHOENIX, AZ
NPI
1487339123
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Entity Type
Organization
Authorized Contact
ABDISAAK MOHAMUD
Owner
612-306-0639
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2023-06-20
Last Update Date
2023-06-20
Business Address
SUPERIOR OUTPATIENT CENTER LLC
3201 W PEORIA AVE STE B408
PHOENIX, AZ 85029-4610
Phone number: 612-306-0639
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Mailing Address
SUPERIOR OUTPATIENT CENTER LLC
5545 W WALATOWA ST
LAVEEN, AZ 85339-5498
Phone number:
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