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1164161766
SHEA HOLBROOK TIDABACK
TUCSON, AZ
NPI
1164161766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-06-01
Last Update Date
2023-05-30
Business Address
SHEA HOLBROOK TIDABACK
4949 N GOLD AVE
TUCSON, AZ 85705-1814
Phone number: 520-904-9168
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Mailing Address
SHEA HOLBROOK TIDABACK
4949 N GOLD AVE
TUCSON, AZ 85705-1814
Phone number: 520-904-9168
Copy
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