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1962600171
CLINICA FAMILIAR BELLA VISTA
PHOENIX, AZ
NPI
1962600171
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Entity Type
Organization
Authorized Contact
WILL INNOCENT
Owner
602-423-8961
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 32113)
Enumeration Date
2007-07-10
Last Update Date
2015-07-15
Business Address
CLINICA FAMILIAR BELLA VISTA
515 W BUCKEYE RD STE 303
PHOENIX, AZ 85003-2647
Phone number: 602-423-8956
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Mailing Address
CLINICA FAMILIAR BELLA VISTA
PO BOX 10176
GLENDALE, AZ 85318-0176
Phone number: 602-423-8961
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