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1699318105
BANNER OCCUPATIONAL HEALTH ARIZONA LLC
PHOENIX, AZ
NPI
1699318105
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Entity Type
Organization
Authorized Contact
DENNIS LARAWAY
CFO
602-747-4000
Organization Subpart ?
Yes
Primary Taxonomy
261QX0100X Clinic/Center, Occupational Medicine
Enumeration Date
2019-10-28
Last Update Date
2019-10-28
Business Address
BANNER OCCUPATIONAL HEALTH ARIZONA LLC
1300 N 12TH ST STE 250
PHOENIX, AZ 85006-2848
Phone number: 602-839-4456
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Mailing Address
BANNER OCCUPATIONAL HEALTH ARIZONA LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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