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1790503795
PBN UNIVERSAL HEALING LLC
LAVEEN, AZ
NPI
1790503795
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Entity Type
Organization
Authorized Contact
PROSCOVIA B LUBWAMA
Np
818-401-3293
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
Enumeration Date
2024-09-30
Last Update Date
2024-09-30
Business Address
PBN UNIVERSAL HEALING LLC
9313 S 39TH DR
LAVEEN, AZ 85339-1237
Phone number: 818-401-3293
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Mailing Address
PBN UNIVERSAL HEALING LLC
6200 DE SOTO AVE APT 35103
WOODLAND HILLS, CA 91367-0202
Phone number: 818-401-3293
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