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1093966186
TYLER JAMES PETTY
MESA, AZ
NPI
1093966186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 8202)
Enumeration Date
2008-10-07
Last Update Date
2008-10-07
Business Address
TYLER JAMES PETTY
1415 E MCKELLIPS RD
MESA, AZ 85203-2723
Phone number: 480-239-1910
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Mailing Address
TYLER JAMES PETTY
1415 E MCKELLIPS RD
MESA, AZ 85203-2723
Phone number: 480-239-1910
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