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1205510914
GARRISON MAST
PHOENIX, AZ
NPI
1205510914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: AZ LPT-33007)
Enumeration Date
2023-06-13
Last Update Date
2023-06-13
Business Address
GARRISON MAST
4045 E BELL RD
PHOENIX, AZ 85032-2236
Phone number: 602-992-8352
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Mailing Address
GARRISON MAST
3913 E CODY AVE
GILBERT, AZ 85234-3003
Phone number:
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