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1871000828
LANIE MATIAS
PHOENIX, AZ
NPI
1871000828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 116184)
Enumeration Date
2017-12-29
Last Update Date
2017-12-29
Business Address
LANIE MATIAS
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 602-324-6500
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Mailing Address
LANIE MATIAS
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 602-324-6500
Copy
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