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NPI Provider: 1760477541
Contact Name: Church Jefferson Matthew
Position: Administrator
Phone: (602) 273-1347
24th. Street Healthcare Llc Information:
24th. Street Healthcare Llc organization have npi 1760477541, taxonomy code is 314000000X with license number is in . This Business address located in 2509 N 24th St, Phoenix, AZ 85008 Arizona. Get directions of 24th. Street Healthcare Llc.
Practice Location
Address: 2509 N 24th St, Phoenix, AZ 85008
Phone: (602) 273-1347
Business Location
Address: 2509 N 24th St, Phoenix, AZ 85008
Phone: (602) 273-1347
Fax: (602) 273-6260
Taxonomy
Taxonomy Code: 314000000X
License Number:
License Number of State: AZ
Primary Taxonomy Switch: Y
Enumeration Date: 9/16/2005
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