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1538243183
DUSTIN RAY BRISCO
KINGMAN, AZ
NPI
1538243183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 5607)
Enumeration Date
2006-10-24
Last Update Date
2008-12-05
Business Address
Mr. DUSTIN RAY BRISCO PT
2120 AIRWAY AVENUE
KINGMAN, AZ 86409-3027
Phone number: 928-757-1211
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Mailing Address
Mr. DUSTIN RAY BRISCO PT
2120 AIRWAY AVENUE
KINGMAN, AZ 86409-3027
Phone number: 928-757-1211
Copy
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