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1124675764
DANIEL HEESTAND
PHOENIX, AZ
NPI
1124675764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ PTA-007724)
Enumeration Date
2019-08-19
Last Update Date
2019-08-19
Business Address
DANIEL HEESTAND
17441 N 46TH PL
PHOENIX, AZ 85032-2385
Phone number: 480-528-8491
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Mailing Address
DANIEL HEESTAND
17441 N 46TH PL
PHOENIX, AZ 85032-2385
Phone number: 480-528-8491
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