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1770095820
OPTIM KETAMINE CLINICS LLC
PHOENIX, AZ
NPI
1770095820
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Entity Type
Organization
Authorized Contact
CHRISTOPHER S RAY
Director
623-293-3985
Organization Subpart ?
No
Primary Taxonomy
261QI0500X Clinic/Center, Infusion Therapy
Enumeration Date
2017-10-30
Last Update Date
2017-10-30
Business Address
OPTIM KETAMINE CLINICS LLC
10255 N 32ND ST STE B
PHOENIX, AZ 85028-3822
Phone number: 928-851-3733
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Mailing Address
OPTIM KETAMINE CLINICS LLC
20403 N LAKE PLEASANT RD # 117-480
PEORIA, AZ 85382-9702
Phone number: 928-851-3733
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