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Organization

GBL ENTERPRISES, LLC

Active
Other names
BARBARA'S MASTECTOMY BOUTIQUE
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN MCNAMEE CP, BOCO (OWNER)
(602) 667-7827
Entity
Organization

Contact information

Practice address
1131 E HIGHLAND AVE STE 2, PHOENIX, AZ 85014-3639
(602) 234-9568
(602) 957-2562
Mailing address
1131 E HIGHLAND AVE STE 2, PHOENIX, AZ 85014-3639
(602) 234-9568
(602) 957-2562

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
AZ

Other

Enumeration date
02/04/2008
Last updated
08/28/2024
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