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1063020972
KAITLIN QUAN
PHOENIX, AZ
NPI
1063020972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224P00000X Prosthetist
(Licence: AZ CPO03733)
Enumeration Date
2020-07-16
Last Update Date
2020-07-16
Business Address
KAITLIN QUAN CPO
1131 E HIGHLAND AVE
PHOENIX, AZ 85014-3639
Phone number: 602-667-7827
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Mailing Address
KAITLIN QUAN CPO
1131 E HIGHLAND AVE
PHOENIX, AZ 85014-3639
Phone number: 602-667-7827
Copy
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