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Organization
AGAVE FAMILY MEDICINE & BREAST FEEDING SUPPORT CENTER LLC
Active
Organization
AGAVE FAMILY MEDICINE & BREAST FEEDING SUPPORT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY C HARREL MD (DIRECTOR)
(602) 999-4659
Entity
Organization
Contact information
Practice address
1925 W ORANGE GROVE RD STE 201, TUCSON, AZ 85704-1151
(520) 372-2167
Mailing address
1925 W ORANGE GROVE RD STE 201, TUCSON, AZ 85704-1151
(520) 372-2167
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
09/30/2022
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