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1285086405
JUAN BERUMEN
GOODYEAR, AZ
NPI
1285086405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 12196A)
Enumeration Date
2016-07-12
Last Update Date
2016-07-12
Business Address
-- JUAN BERUMEN
1388 S 159TH AVE UNITED STATES
GOODYEAR, AZ 85338-3313
Phone number: 623-826-6209
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Mailing Address
-- JUAN BERUMEN
1388 S 159TH AVE
GOODYEAR, AZ 85338-3313
Phone number:
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