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1003427444
LANDIS RANDALL MAINS
GLENDALE, AZ
NPI
1003427444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: AZ LPT31413)
Enumeration Date
2020-08-10
Last Update Date
2020-08-10
Business Address
Mr. LANDIS RANDALL MAINS PT, DPT
9980 W GLENDALE AVE STE 110
GLENDALE, AZ 85307-3005
Phone number: 623-242-6908
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Mailing Address
Mr. LANDIS RANDALL MAINS PT, DPT
3212 W WALTER WAY
PHOENIX, AZ 85027-1075
Phone number: 520-861-4502
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