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1093082836
KYLEE NUSBAUM
LAKE HAVASU CITY, AZ
NPI
1093082836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 9592)
Enumeration Date
2011-11-22
Last Update Date
2011-11-22
Business Address
-- KYLEE NUSBAUM PTA
1948 MESQUITE AVE SUITE 101
LAKE HAVASU CITY, AZ 86403-5777
Phone number: 928-854-4776
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Mailing Address
-- KYLEE NUSBAUM PTA
1948 MESQUITE AVE SUITE 101
LAKE HAVASU CITY, AZ 86403-5777
Phone number: 928-854-4776
Copy
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