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1720733249
HOMETOWN HEALTHCARE LLC
PRESCOTT VALLEY, AZ
NPI
1720733249
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Entity Type
Organization
Authorized Contact
CASSEI GRINGO
Owner
480-231-3974
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2022-02-14
Last Update Date
2022-02-14
Business Address
HOMETOWN HEALTHCARE LLC
3001 N MAIN ST STE 1B
PRESCOTT VALLEY, AZ 86314-1215
Phone number: 480-231-3974
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Mailing Address
HOMETOWN HEALTHCARE LLC
3001 N MAIN ST STE 1B
PRESCOTT VALLEY, AZ 86314-1215
Phone number: 480-231-3974
Copy
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