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1790256535
GWEN'S ADVANCE CARE
PHOENIX, AZ
NPI
1790256535
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Entity Type
Organization
Authorized Contact
VALERIE JOLINE LOPEZ
Care Coordinator
602-595-5707
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2018-12-05
Last Update Date
2020-01-15
Business Address
GWEN'S ADVANCE CARE
1635 E BASELINE RD STE 109
PHOENIX, AZ 85042-6891
Phone number: 602-595-5707
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Mailing Address
GWEN'S ADVANCE CARE
1635 E BASELINE RD STE 109
PHOENIX, AZ 85042-6891
Phone number: 602-595-5707
Copy
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