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1790449650
JACQUELYN POVILAITIS
FLAGSTAFF, AZ
NPI
1790449650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 012236)
Enumeration Date
2021-10-27
Last Update Date
2021-10-27
Business Address
JACQUELYN POVILAITIS PT, DPT
7810 N US HIGHWAY 89 STE 270-280
FLAGSTAFF, AZ 86004-6255
Phone number: 928-522-8375
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Mailing Address
JACQUELYN POVILAITIS PT, DPT
7810 N US HIGHWAY 89 STE 270-280
FLAGSTAFF, AZ 86004-6255
Phone number: 928-522-8375
Copy
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