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1609866300
JEFFREY LEE PAXSON
MESA, AZ
NPI
1609866300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ 0189)
Enumeration Date
2005-10-24
Last Update Date
2010-10-15
Business Address
Mr. JEFFREY LEE PAXSON ATC,L CSCS
630 E JENSEN ST 193
MESA, AZ 85203-2590
Phone number: 480-699-3091
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Mailing Address
Mr. JEFFREY LEE PAXSON ATC,L CSCS
11001 TIMOTHY LN
ROANOKE, IN 46783-9618
Phone number: 260-638-4767
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