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1952002008
CODY JAMES BURTON
SIERRA VISTA, AZ
NPI
1952002008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2143887)
Enumeration Date
2023-03-15
Last Update Date
2023-03-15
Business Address
CODY JAMES BURTON
2151 AZ-92 #106
SIERRA VISTA, AZ 85635
Phone number: 520-335-1615
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Mailing Address
CODY JAMES BURTON
2601 PINE AVE
GULFPORT, MS 39501-5250
Phone number:
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