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1740734532
RICARDO PLASCENCIA
PHOENIX, AZ
NPI
1740734532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 12440A)
Enumeration Date
2016-08-09
Last Update Date
2016-08-09
Business Address
RICARDO PLASCENCIA PTA
6036 N 19TH AVE STE 303
PHOENIX, AZ 85015-2106
Phone number: 602-795-8441
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Mailing Address
RICARDO PLASCENCIA PTA
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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