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1225405954
ALANA MARIE BENCIVENGO
FORT DEFIANCE, AZ
NPI
1225405954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 11759)
Enumeration Date
2015-08-28
Last Update Date
2015-08-28
Business Address
Ms. ALANA MARIE BENCIVENGO PT, DPT
CORNER OF ROUTE 12 AND 7
FORT DEFIANCE, AZ 86504-0649
Phone number: 928-729-8000
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Mailing Address
Ms. ALANA MARIE BENCIVENGO PT, DPT
PO BOX 649
FORT DEFIANCE, AZ 86504-0649
Phone number: 928-729-8000
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