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1740676873
JASON VAIL
GLENDALE, AZ
NPI
1740676873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 11485A)
Enumeration Date
2015-04-15
Last Update Date
2015-04-15
Business Address
JASON VAIL
4620 W SANDRA TER
GLENDALE, AZ 85306-2126
Phone number: 602-545-9916
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Mailing Address
JASON VAIL
4620 W SANDRA TER
GLENDALE, AZ 85306-2126
Phone number: 602-545-9916
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