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1174633713
JASON SMITH
GLENDALE, AZ
NPI
1174633713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 6742)
Enumeration Date
2006-08-30
Last Update Date
2022-07-21
Business Address
-- JASON SMITH
18561 N 59TH AVE STE 117
GLENDALE, AZ 85308-1256
Phone number: 623-322-0654
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Mailing Address
-- JASON SMITH
15681 N 29TH ST
PHOENIX, AZ 85032-3726
Phone number: 602-932-2159
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