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Individual

RUUN A JAMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4737 E LAVENDER LN, PHOENIX, AZ 85044-4810
(480) 385-9368
Mailing address
4737 E LAVENDER LN, PHOENIX, AZ 85044-4810
(480) 385-9368

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
8184A
AZ
225200000X
Physical Therapy Assistant
Primary
A1258
MN

Other

Enumeration date
06/02/2010
Last updated
06/02/2010
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