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1558838508
TEAIRA FAITHANGEL VANGAALEN
GLENDALE, AZ
NPI
1558838508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 13842)
Enumeration Date
2018-10-29
Last Update Date
2018-10-29
Business Address
TEAIRA FAITHANGEL VANGAALEN PTA
8811 N 51ST AVE STE 102
GLENDALE, AZ 85302-4949
Phone number: 623-915-2726
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Mailing Address
TEAIRA FAITHANGEL VANGAALEN PTA
3050 N LITCHFIELD RD STE 100
GOODYEAR, AZ 85395-7805
Phone number: 602-588-0320
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