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1659502979
WARREN JAMES LAKE
PHOENIX, AZ
NPI
1659502979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 8589)
Enumeration Date
2009-08-04
Last Update Date
2012-02-28
Business Address
MR. WARREN JAMES LAKE P.T.
1530 W GLENDALE AVE SUITE 101
PHOENIX, AZ 85021-8578
Phone number: 602-242-1909
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Mailing Address
MR. WARREN JAMES LAKE P.T.
8993 W IRMA LN
PEORIA, AZ 85382-6479
Phone number: 801-916-0030
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