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1801513114
EDENMD WELLNESS LLC
PRESCOTT VALLEY, AZ
NPI
1801513114
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Entity Type
Organization
Authorized Contact
RUTH FORDE
Physician, Partner, Administrator
956-607-4880
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2022-10-26
Last Update Date
2022-11-07
Business Address
EDENMD WELLNESS LLC
7760 E STATE ROUTE 69 STE C5-342
PRESCOTT VALLEY, AZ 86314-2201
Phone number: 602-525-8530
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Mailing Address
EDENMD WELLNESS LLC
6620 E DESPERADO DR
PRESCOTT VALLEY, AZ 86314-5824
Phone number: 956-607-4880
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