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1295945350
JACE HOOPER
PHOENIX, AZ
NPI
1295945350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 6143A)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
-- JACE HOOPER PTA
10235 S 51ST ST STE 170
PHOENIX, AZ 85044-5221
Phone number: 480-889-3206
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Mailing Address
-- JACE HOOPER PTA
4038 W MESCAL ST
PHOENIX, AZ 85029-3835
Phone number: 602-361-8857
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