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1396844668
CARL PETER DEROSA
FLAGSTAFF, AZ
NPI
1396844668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: AZ 0767)
Enumeration Date
2006-09-22
Last Update Date
2007-07-08
Business Address
-- CARL PETER DEROSA PT
1485 N TURQUOISE DR SUITE 220
FLAGSTAFF, AZ 86001-1398
Phone number: 928-774-6626
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Mailing Address
-- CARL PETER DEROSA PT
3285 S SKYE WAY
FLAGSTAFF, AZ 86001-9142
Phone number: 928-779-4461
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