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1710307590
MODERN ELIXIR
TUCSON, AZ
NPI
1710307590
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Entity Type
Organization
Authorized Contact
JUSTIN K TAYLOR
Physician
520-308-5280
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: AZ MT-18699)
Enumeration Date
2014-04-21
Last Update Date
2014-04-21
Business Address
MODERN ELIXIR
6818 N ORACLE RD SUITE 414
TUCSON, AZ 85704-4249
Phone number: 520-308-5280
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Mailing Address
MODERN ELIXIR
6818 N ORACLE RD SUITE 414
TUCSON, AZ 85704-4249
Phone number: 520-308-5280
Copy
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