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1730708017
1 SOURCE LABS AND MEDICAL SERVICES LLC
PHOENIX, AZ
NPI
1730708017
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Entity Type
Organization
Authorized Contact
MANUEL ENRIQUE SALGADO
CEO
623-261-1716
Organization Subpart ?
No
Primary Taxonomy
305S00000X Point of Service
Enumeration Date
2020-04-16
Last Update Date
2020-04-16
Business Address
1 SOURCE LABS AND MEDICAL SERVICES LLC
2440 W MISSION LN STE 5
PHOENIX, AZ 85021-2824
Phone number: 623-261-1716
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Mailing Address
1 SOURCE LABS AND MEDICAL SERVICES LLC
2440 W MISSION LN STE 5
PHOENIX, AZ 85021-2824
Phone number: 623-261-1716
Copy
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