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1548979891
JANCARLO JAIR SUMMERS-HERNANDEZ
PHOENIX, AZ
NPI
1548979891
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Other Name
JC SUMMERS-HERNANDEZ
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 014041)
Enumeration Date
2022-11-15
Last Update Date
2022-11-15
Business Address
JANCARLO JAIR SUMMERS-HERNANDEZ PTA, CSCS
755 E MCDOWELL RD
PHOENIX, AZ 85006-2506
Phone number: 480-210-6556
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Mailing Address
JANCARLO JAIR SUMMERS-HERNANDEZ PTA, CSCS
4305 E KIRKLAND RD
PHOENIX, AZ 85050-8728
Phone number: 480-408-2388
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