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1033772355
MIKAILA RENAE CARAVEO RUIZ
WICKENBURG, AZ
NPI
1033772355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ PTA-013815)
Enumeration Date
2019-04-22
Last Update Date
2019-04-22
Business Address
MIKAILA RENAE CARAVEO RUIZ PTA
520 ROSE LN
WICKENBURG, AZ 85390-1447
Phone number: 928-684-5529
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Mailing Address
MIKAILA RENAE CARAVEO RUIZ PTA
4533 S 236TH DR
BUCKEYE, AZ 85326-7431
Phone number: 623-606-7045
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