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1639877657
PASSPORT HEALTH HOLDINGS, LLC
BROKEN ARROW, OK
NPI
1639877657
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Entity Type
Organization
Authorized Contact
PAUL FISHBURN
COO
480-646-9020
Organization Subpart ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-02-20
Last Update Date
2023-02-20
Business Address
PASSPORT HEALTH HOLDINGS, LLC
1615 S. EUCALYPTUS AVE SUITE #206
BROKEN ARROW, OK 74012
Phone number: 844-358-8648
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Mailing Address
PASSPORT HEALTH HOLDINGS, LLC
4343 EAST OUTLIER BLV SUITE 100W
PHOENIX, AZ 85008-6507
Phone number: 844-358-8648
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