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1760654024
MICKIE ANN THOMSON
GLENDALE, AZ
NPI
1760654024
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Former Name
MICKIE ANN WINCHEK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 7961A)
Enumeration Date
2008-03-27
Last Update Date
2014-03-26
Business Address
Mrs. MICKIE ANN THOMSON PTA
6320 W UNION HILLS DR STE A265
GLENDALE, AZ 85308-1098
Phone number: 623-374-2424
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Mailing Address
Mrs. MICKIE ANN THOMSON PTA
6737 E EVANS DR
SCOTTSDALE, AZ 85254-3490
Phone number: 623-203-9199
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