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1649965229
ZACH GRANT LEBARON
PHOENIX, AZ
NPI
1649965229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-10
Last Update Date
2023-04-10
Business Address
Dr. ZACH GRANT LEBARON MD
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number: 602-344-5011
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Mailing Address
Dr. ZACH GRANT LEBARON MD
3100 N CENTRAL AVE # 711D
PHOENIX, AZ 85012-2637
Phone number:
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