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1184268831
NICHOLAS BRUSSTAR TRAVERS
GOODYEAR, AZ
NPI
1184268831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ LPT-30985)
Enumeration Date
2019-11-05
Last Update Date
2019-11-05
Business Address
NICHOLAS BRUSSTAR TRAVERS PT, DPT
14557 W INDIAN SCHOOL RD # 500
GOODYEAR, AZ 85395-9218
Phone number: 623-242-6908
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Mailing Address
NICHOLAS BRUSSTAR TRAVERS PT, DPT
13226 N 79TH ST
SCOTTSDALE, AZ 85260-4016
Phone number: 480-266-1995
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