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1700909330
MOHAVE PRIMARY CARE
KINGMAN, AZ
NPI
1700909330
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Entity Type
Organization
Authorized Contact
ILANGOVAN GOVINDARAJAN
President
928-692-1900
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: AZ 25797)
Enumeration Date
2007-04-09
Last Update Date
2020-08-22
Business Address
MOHAVE PRIMARY CARE
975 SYCAMORE AVE
KINGMAN, AZ 86409-3548
Phone number: 928-692-1900
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Mailing Address
MOHAVE PRIMARY CARE
2183 SENECA ST
KINGMAN, AZ 86401-6511
Phone number: 928-763-5948
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