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PHOENIX, AZ
NPI1770169989
Entity TypeOrganization
Authorized ContactTARAS L COLLUM
Owner
702-235-5650
Organization Subpart ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-03-19
Last Update Date2021-03-19
Business Address
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12615 N CAVE CREEK RD
PHOENIX, AZ 85022-5832
Phone number: 702-235-5650
Mailing Address
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12615 N CAVE CREEK RD
PHOENIX, AZ 85022-5832
Phone number: 702-235-5650
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