JANSEN MINOR

PHOENIX, AZ
NPI1932572062
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AZ  6323)
Enumeration Date2015-11-11
Last Update Date2015-11-11
Business Address
Mr. JANSEN MINOR COTA/L
4141 S HERRERA WAY
PHOENIX, AZ 85012-1814
Phone number: 602-248-1550
Mailing Address
Mr. JANSEN MINOR COTA/L
13570 W MARSHALL AVE
LITCHFIELD PARK, AZ 85340-3314
Phone number: 765-437-8573
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