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1720394786
VELVET JEAN SERENA
PHOENIX, AZ
NPI
1720394786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2010-08-27
Last Update Date
2010-08-27
Business Address
-- VELVET JEAN SERENA PTA
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 188-887-3422
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Mailing Address
-- VELVET JEAN SERENA PTA
PO BOX 6059
FARGO, ND 58108-6059
Phone number: 188-887-3422
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