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1104566439
AUSTIN ALLRED MACGILLIVRAY
CHANDLER, AZ
NPI
1104566439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ PTA-010522)
Enumeration Date
2022-04-01
Last Update Date
2022-04-01
Business Address
AUSTIN ALLRED MACGILLIVRAY
3180 S GILBERT RD
CHANDLER, AZ 85286-5105
Phone number: 408-773-7778
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Mailing Address
AUSTIN ALLRED MACGILLIVRAY
3180 S GILBERT RD STE 5
CHANDLER, AZ 85286-5105
Phone number: 480-773-7778
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