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1558695130
CARMELITA UPSHAW
FORT DEFIANCE, AZ
NPI
1558695130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 8458)
Enumeration Date
2009-09-29
Last Update Date
2009-09-29
Business Address
-- CARMELITA UPSHAW
CORNER OF ROUTE N12/N7
FORT DEFIANCE, AZ 86504-0649
Phone number: 928-729-3776
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Mailing Address
-- CARMELITA UPSHAW
PO BOX 649
FORT DEFIANCE, AZ 86504-0649
Phone number: 928-729-3776
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