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1003279340
JOSEPH TARANTINO
PEORIA, AZ
NPI
1003279340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: AZ 0488)
Enumeration Date
2016-04-04
Last Update Date
2016-04-04
Business Address
JOSEPH TARANTINO ATC
8131 W PARADISE LN
PEORIA, AZ 85382-3826
Phone number: 619-997-0955
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Mailing Address
JOSEPH TARANTINO ATC
9486 N 82ND GLN
PEORIA, AZ 85345-3128
Phone number: 623-266-9483
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