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1174503932
JEFFREY EVANS LACE
CHANDLER, AZ
NPI
1174503932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 2336)
Enumeration Date
2006-01-18
Last Update Date
2008-07-10
Business Address
-- JEFFREY EVANS LACE MPT
465 E CHILTON DR SUITE 6
CHANDLER, AZ 85225-1184
Phone number: 480-503-2100
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Mailing Address
-- JEFFREY EVANS LACE MPT
9047 E BLANCHE DR
SCOTTSDALE, AZ 85260-2755
Phone number: 480-661-7890
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