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1083982516
LISA MARIE RUIZ-GONZALES
PHOENIX, AZ
NPI
1083982516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ 0321)
Enumeration Date
2011-12-12
Last Update Date
2011-12-12
Business Address
-- LISA MARIE RUIZ-GONZALES MS, ATC, AT
1202 W THOMAS RD
PHOENIX, AZ 85013-4208
Phone number: 602-285-7239
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Mailing Address
-- LISA MARIE RUIZ-GONZALES MS, ATC, AT
3908 E MONTEROSA ST
PHOENIX, AZ 85018-4821
Phone number: 602-296-4358
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