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1730482845
LIGHT HOUSE AMBULATORY CLINIC LLC
CASA GRANDE, AZ
NPI
1730482845
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Entity Type
Organization
Authorized Contact
FLORENCE ADENIKE OLADOKUN
Owner Administrator
520-421-8334
Organization Subpart ?
No
Primary Taxonomy
251J00000X Nursing Care
Enumeration Date
2010-12-10
Last Update Date
2010-12-10
Business Address
LIGHT HOUSE AMBULATORY CLINIC LLC
121 W FLORENCE BLVD SUITE B
CASA GRANDE, AZ 85122-4089
Phone number: 520-423-8334
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Mailing Address
LIGHT HOUSE AMBULATORY CLINIC LLC
121 W FLORENCE BLVD SUITE B
CASA GRANDE, AZ 85122-4089
Phone number: 520-423-8334
Copy
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