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1528464153
FERNANDO ALVIDREZ
PEORIA, AZ
NPI
1528464153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: AZ 0437)
Enumeration Date
2014-11-10
Last Update Date
2014-11-10
Business Address
MR. FERNANDO ALVIDREZ ATC
11200 N 83RD AVE
PEORIA, AZ 85345-5945
Phone number: 623-486-6301
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Mailing Address
MR. FERNANDO ALVIDREZ ATC
11200 N 83RD AVE
PEORIA, AZ 85345-5945
Phone number: 623-486-6301
Copy
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