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Organization

ICAN GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOHAMED IMAM PHD (MANAGER)
(480) 267-0358
Entity
Organization

Contact information

Practice address
911 E ORCHID LN, CHANDLER, AZ 85225-1406
(480) 267-0358
Mailing address
PO BOX 11716, TEMPE, AZ 85284-0029

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
03/22/2022
Last updated
03/22/2022
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