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1821734179
SHANNON ELIZABETH MCKIVITZ
MESA, AZ
NPI
1821734179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 32343)
Enumeration Date
2022-05-10
Last Update Date
2022-05-10
Business Address
Mrs. SHANNON ELIZABETH MCKIVITZ DPT
2642 E FAIRFIELD ST
MESA, AZ 85213-5342
Phone number: 480-848-4281
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Mailing Address
Mrs. SHANNON ELIZABETH MCKIVITZ DPT
PO BOX 267
QUEEN CREEK, AZ 85142-1805
Phone number: 480-848-4281
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