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1801470885
MA IOM, LLC
PHOENIX, AZ
NPI
1801470885
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Entity Type
Organization
Authorized Contact
PIERCE WAYCHOFF
Owner
602-482-2282
Organization Subpart ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
Enumeration Date
2021-05-06
Last Update Date
2021-05-06
Business Address
MA IOM, LLC
3329 E BELL RD STE A2-A5
PHOENIX, AZ 85032-2756
Phone number: 602-482-2282
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Mailing Address
MA IOM, LLC
PO BOX 42057
PHOENIX, AZ 85080-2057
Phone number: 602-482-2282
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