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Organization

LAHODAS PLLC

Active
Other names
Mercy Grace Private Practice
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE REYES (OFFICE MANAGER)
(480) 745-3704
Entity
Organization

Contact information

Practice address
1720 E BOSTON ST, GILBERT, AZ 85295-6226
(480) 745-3702
(480) 745-3709
Mailing address
1720 E BOSTON ST, GILBERT, AZ 85295-6226
(480) 745-3702
(480) 745-3709

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
40145
AZ

Other

Enumeration date
08/23/2013
Last updated
07/17/2024
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