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Organization

CLINICA FAMILIAR MEXICANA I LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JOANNE HERRO (MEMBER)
(602) 790-3578
Entity
Organization

Contact information

Practice address
1514 W. THOMAS ROAD, PHOENIX, AZ 85015
(602) 264-9900
Mailing address
P.O. BOX 7637, PHOENIX, AZ 85011
(602) 264-9900

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
11/11/2009
Last updated
03/09/2011
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