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1861091514
RESTORATION DERMATOLOGY LOUNGE LLC
SCOTTSDALE, AZ
NPI
1861091514
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Entity Type
Organization
Authorized Contact
RYAN PATTERSON
Owner
480-297-0727
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2020-10-23
Last Update Date
2020-10-23
Business Address
RESTORATION DERMATOLOGY LOUNGE LLC
8753 E BELL RD STE D101
SCOTTSDALE, AZ 85260-1307
Phone number: 480-297-0727
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Mailing Address
RESTORATION DERMATOLOGY LOUNGE LLC
PO BOX 1205
INDIANAPOLIS, IN 46206-1205
Phone number:
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