LANCE AVON MICHEL

MESA, AZ
NPI1003037821
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ  0063)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
-- LANCE AVON MICHEL ATC
2506 S SORRELLE
MESA, AZ 85209
Phone number: 480-985-5722
Mailing Address
-- LANCE AVON MICHEL ATC
2506 S SORRELLE
MESA, AZ 85209
Phone number: 480-985-5722
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