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Organization
ARIZONA STATE UNIVERSITY
Active
Organization
ARIZONA STATE UNIVERSITY
Active
Parent organization
ARIZONA STATE UNIVERSITY
Other names
ASU Breaking the Cycle Community Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA STATE UNIVERSITY
Authorized official
DR. DENISE GIANNASCOLI LINK NURSE PRACTITIONER (ASSOC. DEAN FOR CLINICAL PRACTICE)
(602) 496-0893
Entity
Organization
Contact information
Practice address
1124 N 3RD ST, PHOENIX, AZ 85004-1805
(602) 523-9275
(602) 258-4345
Mailing address
500 N 3RD ST, PHOENIX, AZ 85004-2135
(602) 523-9275
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
AZ
Other
Enumeration date
10/30/2007
Last updated
08/21/2009
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