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Organization

LAVEEN MEDICAL PAVILLION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VELDA OLAYINKA (OWNER)
(602) 252-1775
Entity
Organization

Contact information

Practice address
3340 W SOUTHERN AVE, PHOENIX, AZ 85041-4308
(602) 252-1775
(602) 252-1371
Mailing address
3340 W SOUTHERN AVE, PHOENIX, AZ 85041-4308
(602) 252-1775
(602) 252-1371

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
05/05/2010
Last updated
05/05/2010
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