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1194910984
BRANDON DARRELL PENAS
SCOTTSDALE, AZ
NPI
1194910984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 7735)
Enumeration Date
2007-09-13
Last Update Date
2007-10-09
Business Address
-- BRANDON DARRELL PENAS
9376 E BAHIA DR SUITE 103
SCOTTSDALE, AZ 85260-1532
Phone number: 480-556-8406
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Mailing Address
-- BRANDON DARRELL PENAS
9376 E BAHIA DR SUITE 103
SCOTTSDALE, AZ 85260-1532
Phone number: 480-556-8406
Copy
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