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1841731023
MARY SHOUSE
AVONDALE, AZ
NPI
1841731023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AZ 6933)
Enumeration Date
2017-03-20
Last Update Date
2017-03-20
Business Address
-- MARY SHOUSE OTR/L
2506 S 115TH LN
AVONDALE, AZ 85323-7637
Phone number: 623-628-7806
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Mailing Address
-- MARY SHOUSE OTR/L
2506 S 115TH LN
AVONDALE, AZ 85323-7637
Phone number: 623-628-7806
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