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Organization

CAMP FIRE COUNCIL OF GREATER ARIZONA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CAROLYN NOVICOFF (CEO)
(602) 954-7544
Entity
Organization

Contact information

Practice address
5110 N 40TH ST, SUITE 107, PHOENIX, AZ 85018-2126
(602) 954-7544
(602) 954-7352
Mailing address
5110 N 40TH ST, SUITE 107, PHOENIX, AZ 85018-2126
(602) 954-7544
(602) 954-7352

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
263488
AHCCS
AZ
Enumeration date
11/13/2007
Last updated
11/13/2007
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