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Organization
MENAGE LIFE LLC
Active
Organization
MENAGE LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYOMIPO EMMANUEL ADEYEMO PHARMD (ADMINISTRATOR)
(314) 348-4711
Entity
Organization
Contact information
Practice address
4010 W CONEFLOWER LN, SAN TAN VALLEY, AZ 85144-1354
(314) 348-4711
Mailing address
4010 W CONEFLOWER LN, SAN TAN VALLEY, AZ 85144-1354
(314) 348-4711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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