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1356717060
CARLY LENA
PHOENIX, AZ
NPI
1356717060
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Former Name
CARLY LENA MOLLINEAUX
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 7139)
Enumeration Date
2015-08-17
Last Update Date
2015-08-17
Business Address
-- CARLY LENA P.T.
1802 W PARKSIDE LN
PHOENIX, AZ 85027-1322
Phone number: 602-943-5472
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Mailing Address
-- CARLY LENA P.T.
7228 W PONTIAC DR
GLENDALE, AZ 85308-9628
Phone number: 623-866-3035
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