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1508313966
LEVI M STREET
GILBERT, AZ
NPI
1508313966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 12530)
Enumeration Date
2016-09-02
Last Update Date
2022-07-26
Business Address
LEVI M STREET DPT
2940 E BANNER GATEWAY DR STE 200-250
GILBERT, AZ 85234-2168
Phone number: 602-648-5444
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Mailing Address
LEVI M STREET DPT
PO BOX 80217
PHOENIX, AZ 85060-0217
Phone number: 602-385-2115
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