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1649212135
ANISSA L. PONGRATZ
MESA, AZ
NPI
1649212135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 5241)
Enumeration Date
2006-06-11
Last Update Date
2007-07-09
Business Address
Mrs. ANISSA L. PONGRATZ MPT
641 W SOUTHERN AVE
MESA, AZ 85210-5004
Phone number: 602-222-3032
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Mailing Address
Mrs. ANISSA L. PONGRATZ MPT
641 W SOUTHERN AVE
MESA, AZ 85210-5004
Phone number: 602-222-3032
Copy
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