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1417985706
BENJAMIN CARBAJAL
TUCSON, AZ
NPI
1417985706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ 0017)
Enumeration Date
2006-06-28
Last Update Date
2007-07-08
Business Address
Mr. BENJAMIN CARBAJAL ATC
2202 WEST ANKLAM ROAD
TUCSON, AZ 85709-0005
Phone number: 520-206-6012
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Mailing Address
Mr. BENJAMIN CARBAJAL ATC
9311 N CAMINO DE LA TIERRA
TUCSON, AZ 85742-9013
Phone number: 520-744-2160
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