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1891462198
EVAN JAMES BUCKLEY
PHOENIX, AZ
NPI
1891462198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ PTA-010838)
Enumeration Date
2021-08-24
Last Update Date
2021-08-24
Business Address
EVAN JAMES BUCKLEY PTA
15810 S 42ND ST
PHOENIX, AZ 85048-7409
Phone number: 480-759-0358
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Mailing Address
EVAN JAMES BUCKLEY PTA
273 N CROSSCREEK DR
CHANDLER, AZ 85225-1898
Phone number: 480-694-2965
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