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1457843310
JAY DOUGLAS BAUMGARDNER
MESA, AZ
NPI
1457843310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 13657)
Enumeration Date
2018-06-05
Last Update Date
2018-06-26
Business Address
MR. JAY DOUGLAS BAUMGARDNER PT, DPT
1941 W. GUADALUPE RD. SUITE 109
MESA, AZ 85202
Phone number: 480-491-3563
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Mailing Address
MR. JAY DOUGLAS BAUMGARDNER PT, DPT
17233 N HOLMES BLVD STE 1650
PHOENIX, AZ 85053-2031
Phone number: 480-491-3563
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