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1043692221
HAZEL COSTALES-EDGETT
CHANDLER, AZ
NPI
1043692221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 7554)
Enumeration Date
2015-06-24
Last Update Date
2015-06-24
Business Address
Mrs. HAZEL COSTALES-EDGETT PT
825 S 94TH ST
CHANDLER, AZ 85224-6281
Phone number: 480-630-3676
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Mailing Address
Mrs. HAZEL COSTALES-EDGETT PT
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 971-224-2040
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