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1366673253
DANAE MARIE PENA
PHOENIX, AZ
NPI
1366673253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MT 2081)
Enumeration Date
2009-07-27
Last Update Date
2009-07-27
Business Address
-- DANAE MARIE PENA PTA
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 888-873-4221
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Mailing Address
-- DANAE MARIE PENA PTA
716 S PEARSON AVE
GLENDIVE, MT 59330-2216
Phone number: 406-377-6030
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