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1013356773
KRISTAL LEE BLUNDELL
LAKE HAVASU CITY, AZ
NPI
1013356773
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 10274APTA)
Enumeration Date
2013-06-17
Last Update Date
2023-05-10
Business Address
KRISTAL LEE BLUNDELL PTA
1515 LAKE HAVASU AVE N STE 100
LAKE HAVASU CITY, AZ 86404-1177
Phone number: 928-854-5439
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Mailing Address
KRISTAL LEE BLUNDELL PTA
3490 OVERLAND DR
LAKE HAVASU CITY, AZ 86404-2203
Phone number: 928-230-2715
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