Organization
KOHLHASE
Active
Parent organization
KOHLHASE
Organization subpart
Yes
Provider details
NPI number
Legal business name
KOHLHASE
Authorized official
LUKE SLABAUGH (BROKER AGENT)
(480) 832-8370
Entity
Organization
Contact information
Practice address
6550 E MAIN STREET, MESA, AZ 85205-9041
(480) 832-8370
(480) 985-9411
Mailing address
6550 E MAIN STREET, MESA, AZ 85205-9041
(480) 832-8370
(480) 985-9411
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
150653
AZ
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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