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1730511007
MCKENZIE DUGAN LONG
GLENDALE, AZ
NPI
1730511007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 10460)
Enumeration Date
2013-08-08
Last Update Date
2013-08-08
Business Address
-- MCKENZIE DUGAN LONG PT
5620 W THUNDERBIRD RD B1
GLENDALE, AZ 85306-4636
Phone number: 602-938-2422
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Mailing Address
-- MCKENZIE DUGAN LONG PT
PO BOX 10837
GLENDALE, AZ 85318-0837
Phone number:
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