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1821854712
SUD LLC
PHOENIX, AZ
NPI
1821854712
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Entity Type
Organization
Authorized Contact
KIRSTEN A SORENSEN
Administrator
602-431-1152
Organization Subpart ?
No
Primary Taxonomy
207QA0401X Family Medicine Addiction Medicine
Enumeration Date
2024-02-27
Last Update Date
2024-02-27
Business Address
SUD LLC
4919 E HAZEL DR UNIT 1
PHOENIX, AZ 85044-7776
Phone number: 602-431-1152
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Mailing Address
SUD LLC
4919 E HAZEL DR UNIT 1
PHOENIX, AZ 85044-7776
Phone number: 602-431-1152
Copy
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