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1942719547
JOSHUA NIESEN
SURPRISE, AZ
NPI
1942719547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 13325)
Enumeration Date
2017-09-26
Last Update Date
2017-09-26
Business Address
JOSHUA NIESEN PT
13967 W GRAND AVE # C-100
SURPRISE, AZ 85374-3732
Phone number: 623-474-3952
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Mailing Address
JOSHUA NIESEN PT
15410 S MOUNTAIN PKWY STE 112
PHOENIX, AZ 85044-6691
Phone number:
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