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1912618687
AZ SKIN SUB LLC
PHOENIX, AZ
NPI
1912618687
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Entity Type
Organization
Authorized Contact
JARVIS TZENG
President
480-389-6863
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2022-12-13
Last Update Date
2022-12-13
Business Address
AZ SKIN SUB LLC
10810 N TATUM BLVD STE 102-132
PHOENIX, AZ 85028-6055
Phone number: 480-389-6863
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Mailing Address
AZ SKIN SUB LLC
10810 N TATUM BLVD STE 102-132
PHOENIX, AZ 85028-6055
Phone number: 480-389-6863
Copy
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