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1811683154
INDIGO CREST WELLNESS LLC
PHOENIX, AZ
NPI
1811683154
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Entity Type
Organization
Authorized Contact
LESTER SHAW
Owner
602-341-6977
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2023-04-11
Last Update Date
2023-04-11
Business Address
INDIGO CREST WELLNESS LLC
2960 E NORTHERN AVE
PHOENIX, AZ 85028-4845
Phone number: 602-341-6977
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Mailing Address
INDIGO CREST WELLNESS LLC
2960 E NORTHERN AVE
PHOENIX, AZ 85028-4845
Phone number: 602-341-6977
Copy
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