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1619487675
YAVAPAI HEALTHCARE GROUP LLC
PRESCOTT, AZ
NPI
1619487675
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Entity Type
Organization
Authorized Contact
MICHAEL O'NEIL
Sole Mbr/CEO
631-352-0650
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
Enumeration Date
2017-10-04
Last Update Date
2017-10-04
Business Address
YAVAPAI HEALTHCARE GROUP LLC
999 DIVISION STREET
PRESCOTT, AZ 86301
Phone number: 928-777-9600
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Mailing Address
YAVAPAI HEALTHCARE GROUP LLC
50 VANDERBILT MOTOR PKWY
COMMACK, NY 11725
Phone number: 631-352-0650
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