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1316291305
JOHN WIEDERANDERS
SCOTTSDALE, AZ
NPI
1316291305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ 5271)
Enumeration Date
2012-10-30
Last Update Date
2012-10-30
Business Address
-- JOHN WIEDERANDERS
1475 N GRANITE REEF RD
SCOTTSDALE, AZ 85257-3919
Phone number: 480-990-1904
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Mailing Address
-- JOHN WIEDERANDERS
1475 N GRANITE REEF RD
SCOTTSDALE, AZ 85257-3919
Phone number: 480-990-1904
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