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1538720289
BRENTNOL SHAWN MCPHERSON
PHOENIX, AZ
NPI
1538720289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NM PTA1405)
Enumeration Date
2019-06-24
Last Update Date
2019-06-24
Business Address
BRENTNOL SHAWN MCPHERSON
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 888-873-4221
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Mailing Address
BRENTNOL SHAWN MCPHERSON
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 888-873-4221
Copy
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