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Organization
ST PEREGRINE WOUND CARE LLC
Active
Organization
ST PEREGRINE WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIANNE TERESA MASON MD (OWNER)
(605) 371-6244
Entity
Organization
Contact information
Practice address
2000 W BETHANY HOME RD, PHOENIX, AZ 85015-2443
(602) 246-5576
Mailing address
9551 W COUNTRY CLUB DR, SUN CITY, AZ 85373-1725
(605) 371-6244
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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