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1538700059
LAY FAMILY PRACTICE LLC
GLENDALE, AZ
NPI
1538700059
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Entity Type
Organization
Authorized Contact
JODI LAY
Owner And Provider
602-509-9177
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2019-10-06
Last Update Date
2019-11-21
Business Address
LAY FAMILY PRACTICE LLC
4494 W PEORIA AVE STE 115A
GLENDALE, AZ 85302-2020
Phone number: 602-509-9177
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Mailing Address
LAY FAMILY PRACTICE LLC
PO BOX 406
LAVEEN, AZ 85339-0406
Phone number: 480-431-5067
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