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1891408001
TATUM VANDERPOOL
MESA, AZ
NPI
1891408001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ LPT-32765)
Enumeration Date
2023-01-03
Last Update Date
2023-01-03
Business Address
TATUM VANDERPOOL
4210 E BASELINE RD STE 106
MESA, AZ 85206-4418
Phone number: 480-692-7624
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Mailing Address
TATUM VANDERPOOL
9810 E SUNSPOT DR
MESA, AZ 85212-1109
Phone number: 949-226-2091
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