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1114385457
ARIZONA SPORTS CLINIC LLC
MESA, AZ
NPI
1114385457
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Entity Type
Organization
Authorized Contact
TYSON WADE MAROSTICA
Chiropractor
610-906-6164
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2016-02-01
Last Update Date
2016-08-01
Business Address
ARIZONA SPORTS CLINIC LLC
5735 E MCKELLIPS RD SUITE B-106
MESA, AZ 85215-2875
Phone number: 602-668-8109
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Mailing Address
ARIZONA SPORTS CLINIC LLC
5735 E MCKELLIPS RD SUITE B-106
MESA, AZ 85215-2875
Phone number: 602-668-8109
Copy
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