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1861875569
AMANDA BRUEBACK
MESA, AZ
NPI
1861875569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 10294A)
Enumeration Date
2015-06-30
Last Update Date
2015-06-30
Business Address
-- AMANDA BRUEBACK
7255 E BROADWAY RD
MESA, AZ 85208-9201
Phone number: 480-981-8844
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Mailing Address
-- AMANDA BRUEBACK
1873 E SAN TAN ST
CHANDLER, AZ 85225-8240
Phone number: 480-734-1573
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