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1689035479
MERIDIAN THERAPEUTICS CLINIC LLC
PHOENIX, AZ
NPI
1689035479
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Entity Type
Organization
Authorized Contact
KIMARA VAUGHN
Owner/ Nurse Practitioner
602-606-2658
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2016-03-08
Last Update Date
2016-03-08
Business Address
MERIDIAN THERAPEUTICS CLINIC LLC
4045 E BELL RD STE 111
PHOENIX, AZ 85032-2236
Phone number: 602-606-2658
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Mailing Address
MERIDIAN THERAPEUTICS CLINIC LLC
4045 E BELL RD STE 111
PHOENIX, AZ 85032-2236
Phone number: 602-606-2658
Copy
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