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Individual
JERRY MARSH
Active
Individual
JERRY MARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2253
AZ
225100000X
Physical Therapist
Primary
6116
OR
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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