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1154528503
JOHN MCCRAE
PHOENIX, AZ
NPI
1154528503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: AZ AZ7175)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
Mr. JOHN MCCRAE P.T.
16601 N.12TH ST APT 2101
PHOENIX, AZ 85022
Phone number: 602-509-0016
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Mailing Address
Mr. JOHN MCCRAE P.T.
16601 N.12TH ST APT 2101
PHOENIX, AZ 85022
Phone number: 602-509-0016
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