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1467706978
SUSAN MICHELLE LEGGE
COTTONWOOD, AZ
NPI
1467706978
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Other Name
SUSAN MICHELLE BAKKEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 0128A)
Enumeration Date
2012-11-06
Last Update Date
2012-11-06
Business Address
-- SUSAN MICHELLE LEGGE P.T.A.
197 SOUTH WILLARD
COTTONWOOD, AZ 85331
Phone number: 928-634-5548
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Mailing Address
-- SUSAN MICHELLE LEGGE P.T.A.
4560 SE INTERNATIONAL WAY STE. 100
MILWAUKIE, OR 97222
Phone number: 971-206-5200
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