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1245050798
EVAN JAMES MICHELSON
KINGMAN, AZ
NPI
1245050798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ LPT-010285)
Enumeration Date
2024-10-10
Last Update Date
2024-10-10
Business Address
EVAN JAMES MICHELSON
2403 N STOCKTON HILL RD STE 4AND5
KINGMAN, AZ 86401-4188
Phone number: 928-529-5311
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Mailing Address
EVAN JAMES MICHELSON
2085 ARROYO VISTA LN
KINGMAN, AZ 86401-8770
Phone number: 928-530-8395
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