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Organization

KHADJENOURY LLC

Active
Other names
edventures group
Organization subpart
No

Provider details

NPI number
Authorized official
SIAMAK KHADJENOURY (CEO)
(520) 907-6890
Entity
Organization

Contact information

Practice address
1801 N NAVAJO DRIVE, LAKE VIEW ELEMENTARY, PAGE, AZ 86040
(520) 907-6890
Mailing address
8848 WILLOW HILLS COURT, SANDY, UT 84093
(520) 907-6890

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
07/31/2009
Last updated
07/31/2009
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