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1841052883
DUSTY MATTHEW ALLRED
MARICOPA, AZ
NPI
1841052883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: AZ PTA-012352)
Enumeration Date
2024-01-25
Last Update Date
2024-01-25
Business Address
DUSTY MATTHEW ALLRED PTA
21083 N JOHN WAYNE PKWY STE C104
MARICOPA, AZ 85139-2961
Phone number: 520-233-7555
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Mailing Address
DUSTY MATTHEW ALLRED PTA
37645 W SANTA CLARA AVE
MARICOPA, AZ 85138-5425
Phone number:
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