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1871522656
CORNELIUS JIM SCANLON
SHOW LOW, AZ
NPI
1871522656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2006-07-02
Last Update Date
2007-07-08
Business Address
-- CORNELIUS JIM SCANLON
2650 E SHOW LOW LAKE RD STE 3
SHOW LOW, AZ 85901-7955
Phone number: 928-537-8196
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Mailing Address
-- CORNELIUS JIM SCANLON
PO BOX 194
PINETOP, AZ 85935-0194
Phone number:
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