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1801213400
SHANE SMITH
SUN CITY WEST, AZ
NPI
1801213400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 9747)
Enumeration Date
2014-03-21
Last Update Date
2014-03-21
Business Address
Mr. SHANE SMITH MPT
19303 N NEW TRADITION RD
SUN CITY WEST, AZ 85375-3806
Phone number: 623-547-5088
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Mailing Address
Mr. SHANE SMITH MPT
19303 N NEW TRADITION RD
SUN CITY WEST, AZ 85375-3806
Phone number: 623-547-5088
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