FOUNDATIONS FOR CHANGE PLC
Physician Assistant at 24 St, Phoenix, AZ

License number
Arizona AP2472
Category
Physician Assistant
Type
Psychiatric/Mental Health
Owner
Name: JEFFREY S EDELMAN N.P.
Title: OWNER
Phone: (602) 368-8311
Address
Address
3841 N 24Th St, Phoenix, AZ 85016
National Provider ID: 1467729640
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FOUNDATIONS FOR CHANGE, PLC

Sun City, AZ  -  Phoenix, AZ

Status:
Inactive
Industry:
Nonprofit Trust Management
Registration:
Aug 27, 2007
Addresses:
PO Box 8657, Surprise, AZ 85374 (Physical)
3841 N 24 St, Phoenix, AZ 85016
State ID:
P-1390051-4
Expiration:
PERPETUAL
Manager, Owner, Principal:
Jeffrey S Edelman Manager, Owner, Principal, inactive, PO Box 8657, Surprise, AZ 85374 (Physical)
Agent:
Andrew P Gorman,10101 W Bell Rd #101, Sun City, AZ 85351 (Physical)

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