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1952166464
ZACHARY DANIEL POULTER
PRESCOTT, AZ
NPI
1952166464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
Enumeration Date
2024-02-14
Last Update Date
2024-02-14
Business Address
ZACHARY DANIEL POULTER
3117 STILLWATER DR
PRESCOTT, AZ 86305-7164
Phone number: 928-442-0005
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Mailing Address
ZACHARY DANIEL POULTER
2053 WILLOW LAKE RD UNIT 107
PRESCOTT, AZ 86301-6043
Phone number:
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