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1417555442
LAUREN ASHLEY AYALA
KINGMAN, AZ
NPI
1417555442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ PTA13169)
Enumeration Date
2020-10-12
Last Update Date
2020-10-12
Business Address
LAUREN ASHLEY AYALA PTA
3131 WESTERN AVE
KINGMAN, AZ 86401-0951
Phone number: 928-718-0718
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Mailing Address
LAUREN ASHLEY AYALA PTA
PO BOX 876
YUCCA, AZ 86438-0876
Phone number: 928-486-7369
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