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1952716698
RESTORE FUNCTIONAL RESTORATION, LLC
PHOENIX, AZ
NPI
1952716698
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Entity Type
Organization
Authorized Contact
AMY RICHTER BODE
Owner/COO
602-403-9711
Organization Subpart ?
No
Primary Taxonomy
261QR0400X Clinic/Center, Rehabilitation
Enumeration Date
2014-06-20
Last Update Date
2014-06-20
Business Address
RESTORE FUNCTIONAL RESTORATION, LLC
20002 N 19TH AVE # B100
PHOENIX, AZ 85027-4250
Phone number: 602-714-1408
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Mailing Address
RESTORE FUNCTIONAL RESTORATION, LLC
20002 N 19TH AVE # B100
PHOENIX, AZ 85027-4250
Phone number: 602-714-1408
Copy
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