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1578676276
JOAN ILENE DAVIS
PHOENIX, AZ
NPI
1578676276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: AZ 389)
Enumeration Date
2006-08-16
Last Update Date
2007-07-08
Business Address
Ms. JOAN ILENE DAVIS PT
4502 N CENTRAL AVE
PHOENIX, AZ 85012-1817
Phone number: 602-499-8357
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Mailing Address
Ms. JOAN ILENE DAVIS PT
6128 N 12TH WAY
PHOENIX, AZ 85014-1726
Phone number: 602-212-1290
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