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Organization

DINE DMES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THEODORE ALLEN (CEO)
(928) 787-2801
Entity
Organization

Contact information

Practice address
NR-13 & B.I.A. 134, LUKACHUKAI, AZ 86507-1200
(928) 787-2801
(928) 787-2725
Mailing address
PO BOX 1200B, LUKACHUKAI, AZ 86507-1201
(928) 787-2801
(928) 787-2725

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary

Other

Enumeration date
06/26/2020
Last updated
06/26/2020
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