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1104424449
MARIAH ROUSH
LAKE HAVASU CITY, AZ
NPI
1104424449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ PTA011894)
Enumeration Date
2020-10-09
Last Update Date
2020-10-09
Business Address
MARIAH ROUSH PTA
1948 MESQUITE AVE STE 101
LAKE HAVASU CITY, AZ 86403-5777
Phone number: 928-854-4776
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Mailing Address
MARIAH ROUSH PTA
1948 MESQUITE AVE STE 101
LAKE HAVASU CITY, AZ 86403-5777
Phone number: 928-854-4776
Copy
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