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1922038439
KEITH ALAN SHAULL
MESA, AZ
NPI
1922038439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 7213)
Enumeration Date
2006-07-03
Last Update Date
2014-01-28
Business Address
Dr. KEITH ALAN SHAULL PT
5440 E SOUTHERN AVE SUITE 101
MESA, AZ 85206-2779
Phone number: 480-641-3533
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Mailing Address
Dr. KEITH ALAN SHAULL PT
11421 E PALOMA AVE
MESA, AZ 85212-1971
Phone number: 480-813-0349
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