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1518343003
EVAN SHORT
MESA, AZ
NPI
1518343003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 11733)
Enumeration Date
2015-08-06
Last Update Date
2015-08-06
Business Address
-- EVAN SHORT
4210 E BASELINE RD 106
MESA, AZ 85206-4417
Phone number: 480-503-2373
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Mailing Address
-- EVAN SHORT
4210 E BASELINE RD 106
MESA, AZ 85206-4417
Phone number: 480-503-2373
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