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1790991958
MICHAEL FOSSUM
MESA, AZ
NPI
1790991958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111NR0400X Chiropractor, Rehabilitation
(Licence: AZ 7027)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL FOSSUM
1830 S ALMA SCHOOL RD STE 116
MESA, AZ 85210-3086
Phone number: 480-222-5169
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Mailing Address
Dr. MICHAEL FOSSUM
1252 N SANTA ANNA ST
CHANDLER, AZ 85224-8592
Phone number:
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