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1669907150
TOMMIE FOXWORTH
MESA, AZ
NPI
1669907150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1744P3200X Specialist, Prosthetics Case Management
(Licence: AZ 202)
Enumeration Date
2017-04-22
Last Update Date
2017-04-22
Business Address
-- TOMMIE FOXWORTH
1616 E MAIN ST SUITE 102-103
MESA, AZ 85203-9071
Phone number: 602-349-2579
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Mailing Address
-- TOMMIE FOXWORTH
7440 E MAIN ST 09
MESA, AZ 85207-8300
Phone number: 602-425-9308
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