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1447590211
DEANNA BROCARD
FORT MOHAVE, AZ
NPI
1447590211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 9364A)
Enumeration Date
2013-02-15
Last Update Date
2013-02-15
Business Address
-- DEANNA BROCARD
2112 E DESERT LAKES DR
FORT MOHAVE, AZ 86426-6812
Phone number: 562-822-1198
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Mailing Address
-- DEANNA BROCARD
2112 E DESERT LAKES DR
FORT MOHAVE, AZ 86426-6812
Phone number:
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