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1982194387
1ST ALLEGIANT LLC
QUEEN CREEK, AZ
NPI
1982194387
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Entity Type
Organization
Authorized Contact
CANDICE REED
Owner
480-332-8436
Organization Subpart ?
No
Primary Taxonomy
2080P0006X Pediatrics Developmental - Behavioral Pediatrics
Enumeration Date
2018-05-11
Last Update Date
2018-05-11
Business Address
1ST ALLEGIANT LLC
21798 E CHERRYWOOD DR
QUEEN CREEK, AZ 85142-4886
Phone number: 480-332-8436
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Mailing Address
1ST ALLEGIANT LLC
21798 E CHERRYWOOD DR
QUEEN CREEK, AZ 85142-4886
Phone number:
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