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1023133964
LISA M POORMON
AVONDALE, AZ
NPI
1023133964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: AZ 7498)
Enumeration Date
2007-03-20
Last Update Date
2008-01-07
Business Address
-- LISA M POORMON P.T.
10815 W MCDOWELL RD
AVONDALE, AZ 85392-5007
Phone number: 623-433-0199
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Mailing Address
-- LISA M POORMON P.T.
10815 W MCDOWELL RD
AVONDALE, AZ 85392-5007
Phone number: 623-433-0199
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