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1528536554
PICACHO 1, LLC
QUEEN CREEK, AZ
NPI
1528536554
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Entity Type
Organization
Authorized Contact
STANLEY FLOYD CARR
Owner
480-495-6574
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2018-11-07
Last Update Date
2018-11-07
Business Address
PICACHO 1, LLC
20715 E OCOTILLO RD SUITE 103
QUEEN CREEK, AZ 85142
Phone number: 480-495-6574
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Mailing Address
PICACHO 1, LLC
20715 E OCOTILLO RD SUITE 103
QUEEN CREEK, AZ 85142
Phone number: 480-495-6574
Copy
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