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1811470594
ANCHALEE BUNTHANAWONG
PHOENIX, AZ
NPI
1811470594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00310700)
Enumeration Date
2018-09-10
Last Update Date
2018-09-10
Business Address
ANCHALEE BUNTHANAWONG
7540 N 19TH AVE
PHOENIX, AZ 85021-7967
Phone number: 888-873-4221
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Mailing Address
ANCHALEE BUNTHANAWONG
7540 N 19TH AVE
PHOENIX, AZ 85021-7967
Phone number:
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