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1154182764
DEREK JR MORGAN
SURPRISE, AZ
NPI
1154182764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 8729A)
Enumeration Date
2024-01-22
Last Update Date
2024-01-22
Business Address
Mr. DEREK JR MORGAN PTA
11340 W BELL RD STE A-101
SURPRISE, AZ 85378-9342
Phone number: 623-226-6644
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Mailing Address
Mr. DEREK JR MORGAN PTA
15954 N NAEGEL DR
SURPRISE, AZ 85374-5200
Phone number:
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