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1972697159
TED A. MIZE
PRESCOTT, AZ
NPI
1972697159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 6212)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
MR. TED A. MIZE P.T.
500 US HIGHWAY 89 NORTH
PRESCOTT, AZ 86313
Phone number: 928-717-7493
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Mailing Address
MR. TED A. MIZE P.T.
PO BOX 9036
PRESCOTT, AZ 86313-9036
Phone number: 928-717-7493
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