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1417600081
SHAHID NOOR RAHIM
GOODYEAR, AZ
NPI
1417600081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ PTA-014417)
Enumeration Date
2022-02-02
Last Update Date
2022-02-02
Business Address
SHAHID NOOR RAHIM PTA
13575 W MCDOWELL RD
GOODYEAR, AZ 85395-2604
Phone number: 623-536-9911
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Mailing Address
SHAHID NOOR RAHIM PTA
3131 W CLAREMONT ST
PHOENIX, AZ 85017-1528
Phone number: 602-515-1612
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