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1760042220
PS PRO IOM LLC
PHOENIX, AZ
NPI
1760042220
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Entity Type
Organization
Authorized Contact
CHALLEN WAYCHOFF
COO/Manager
480-634-6400
Organization Subpart ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology Neurology
Enumeration Date
2019-06-17
Last Update Date
2019-06-17
Business Address
PS PRO IOM LLC
3724 N 3RD ST STE 301
PHOENIX, AZ 85012-2035
Phone number: 480-634-6400
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Mailing Address
PS PRO IOM LLC
3724 N 3RD ST STE 301
PHOENIX, AZ 85012-2035
Phone number: 480-634-6400
Copy
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