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1528725876
LUCAS MANZANARES
GILBERT, AZ
NPI
1528725876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: AZ ATR-009457)
Enumeration Date
2021-11-22
Last Update Date
2024-07-23
Business Address
LUCAS MANZANARES
1675 E MELROSE ST STE 101-103
GILBERT, AZ 85297-1001
Phone number: 602-648-5444
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Mailing Address
LUCAS MANZANARES
PO BOX 80217
PHOENIX, AZ 85060-0217
Phone number: 602-385-2115
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