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1386269454
ALEXIS ILEANA ENCARNACION
PHOENIX, AZ
NPI
1386269454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2020-06-14
Last Update Date
2020-06-14
Business Address
ALEXIS ILEANA ENCARNACION ATC
375 E VIRGINIA AVE STE B
PHOENIX, AZ 85004-1202
Phone number: 602-264-0443
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Mailing Address
ALEXIS ILEANA ENCARNACION ATC
1333 E MORTEN AVE UNIT 208
PHOENIX, AZ 85020-4560
Phone number: 623-986-1848
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