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1740680891
SHELLY POTTER
BUCKEYE, AZ
NPI
1740680891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 11126PT)
Enumeration Date
2014-08-26
Last Update Date
2014-08-26
Business Address
-- SHELLY POTTER DPT
23374 W YUMA RD
BUCKEYE, AZ 85326-3118
Phone number: 623-242-6908
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Mailing Address
-- SHELLY POTTER DPT
23374 W YUMA RD
BUCKEYE, AZ 85326-3118
Phone number: 623-242-6908
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