SAM CLAYTON POTTER

SURPRISE, AZ
NPI1720500903
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2017-07-10
Last Update Date2017-07-10
Business Address
SAM CLAYTON POTTER
16107 N 165TH LN
SURPRISE, AZ 85388-1141
Phone number: 623-337-2511
Mailing Address
SAM CLAYTON POTTER
16107 N 165TH LN
SURPRISE, AZ 85388-1141
Phone number:
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