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1639793003
JEFFREY MICHAEL LANDRAM
BUCKEYE, AZ
NPI
1639793003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ LPT-31279)
Enumeration Date
2020-06-02
Last Update Date
2020-06-02
Business Address
JEFFREY MICHAEL LANDRAM PT, DPT
23374 W YUMA RD STE 104
BUCKEYE, AZ 85326-3120
Phone number: 623-242-6908
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Mailing Address
JEFFREY MICHAEL LANDRAM PT, DPT
3924 W LONE CACTUS DR
GLENDALE, AZ 85308-4718
Phone number: 602-540-5670
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