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1730742859
PROACTIVE PAIN TREATMENT LLC
TEMPE, AZ
NPI
1730742859
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Entity Type
Organization
Authorized Contact
JERRY BUCKNER
Sole Mbr
480-930-4018
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2019-04-15
Last Update Date
2019-04-15
Business Address
PROACTIVE PAIN TREATMENT LLC
1001 E WARNER RD STE 103
TEMPE, AZ 85284-3224
Phone number: 480-566-9755
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Mailing Address
PROACTIVE PAIN TREATMENT LLC
1001 E WARNER RD STE 103
TEMPE, AZ 85284-3224
Phone number:
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