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1538273107
AIDA LACEVIC
PHOENIX, AZ
NPI
1538273107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
283Q00000X Psychiatric Hospital
(Licence: AZ 33724)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
AIDA LACEVIC M.D.
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 602-222-2752
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Mailing Address
AIDA LACEVIC M.D.
4135 E COOLBROOK AVE
PHOENIX, AZ 85032-2253
Phone number: 602-222-2752
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