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1700369386
MIRIAM BERENICE RENDON ZAVALA
PRESCOTT VALLEY, AZ
NPI
1700369386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 013789)
Enumeration Date
2018-09-10
Last Update Date
2018-09-10
Business Address
MIRIAM BERENICE RENDON ZAVALA PTA
6550 E 2ND ST STE B
PRESCOTT VALLEY, AZ 86314-3523
Phone number: 928-777-1932
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Mailing Address
MIRIAM BERENICE RENDON ZAVALA PTA
4512 W EDGEMONT AVE
PHOENIX, AZ 85035-2212
Phone number: 480-386-2166
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