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1720725625
ACACIA S HEALTHCARE PLLC
SURPRISE, AZ
NPI
1720725625
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Entity Type
Organization
Authorized Contact
JANET D TATE-BROWN
Employee
609-364-4028
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2022-05-12
Last Update Date
2022-06-07
Business Address
ACACIA S HEALTHCARE PLLC
23864 N 166TH LN
SURPRISE, AZ 85387-1460
Phone number: 609-364-4028
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Mailing Address
ACACIA S HEALTHCARE PLLC
23864 N 166TH LN
SURPRISE, AZ 85387-1460
Phone number: 609-364-4028
Copy
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