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Organization

ROSE OF SHARON MEDICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CAROLYN ANN RIBAUDO (OWNER)
(928) 855-8655
Entity
Organization

Contact information

Practice address
2125 MCCULLOCH BLVD, STE B, LAKE HAVASU CITY, AZ 86403-5899
(928) 855-8655
(928) 505-4653
Mailing address
2125 MCCULLOCH BLVD N, STE B, LAKE HAVASU CITY, AZ 86403-5899
(928) 855-8655
(928) 505-4653

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
09/27/2006
Last updated
02/25/2008
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