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Individual

COLLINS BEZAAJUH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7208 W WINDSOR AVE, PHOENIX, AZ 85035-1332
(602) 601-0586
Mailing address
7208 W WINDSOR AVE, PHOENIX, AZ 85035-1332
(602) 601-0586

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH9356
AZ

Other

Enumeration date
12/01/2023
Last updated
12/01/2023
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