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1821225814
JOANN F. WALTERS
PHOENIX, AZ
NPI
1821225814
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Entity Type
Organization
Authorized Contact
MARK LAZARE
Clinical Director
602-633-2000
Organization Subpart ?
Yes
Primary Taxonomy
251S00000X
(Licence: AZ BH3143)
Enumeration Date
2009-06-17
Last Update Date
2009-06-17
Business Address
JOANN F. WALTERS
4550 E BELL RD
PHOENIX, AZ 85032-9306
Phone number: 602-633-2000
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Mailing Address
JOANN F. WALTERS
4550 E BELL RD
PHOENIX, AZ 85032-9306
Phone number: 602-633-2000
Copy
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