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1831595149
BEVERLY LAVIGNE
PHOENIX, AZ
NPI
1831595149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ PTA10691A)
Enumeration Date
2014-11-13
Last Update Date
2014-11-13
Business Address
-- BEVERLY LAVIGNE
16023 S 31ST WAY
PHOENIX, AZ 85048-7725
Phone number: 480-478-8777
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Mailing Address
-- BEVERLY LAVIGNE
16023 S 31ST WAY
PHOENIX, AZ 85048-7725
Phone number:
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