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1548319049
TARA PETTENGILL
GILBERT, AZ
NPI
1548319049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: AZ 7428)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
-- TARA PETTENGILL
140 S GILBERT RD
GILBERT, AZ 85296-1016
Phone number: 480-558-5131
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Mailing Address
-- TARA PETTENGILL
697 E CULLUMBER ST
GILBERT, AZ 85234-6408
Phone number:
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