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1093114985
RYAN SHAW
SCOTTSDALE, AZ
NPI
1093114985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 11099A)
Enumeration Date
2014-08-18
Last Update Date
2014-08-18
Business Address
-- RYAN SHAW
1475 N GRANITE REEF RD
SCOTTSDALE, AZ 85257-3919
Phone number: 480-990-1904
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Mailing Address
-- RYAN SHAW
1475 N GRANITE REEF RD
SCOTTSDALE, AZ 85257-3919
Phone number: 480-990-1904
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