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1831738756
MIKAEL GIBBENS
PHOENIX, AZ
NPI
1831738756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 31038)
Enumeration Date
2019-12-23
Last Update Date
2019-12-23
Business Address
MIKAEL GIBBENS PT, DPT
375 E VIRGINIA AVE
PHOENIX, AZ 85004-1202
Phone number: 602-264-0443
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Mailing Address
MIKAEL GIBBENS PT, DPT
15410 S MOUNTAIN PKWY STE 112
PHOENIX, AZ 85044-6691
Phone number: 480-706-1161
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