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1649636713
ALIFONZO WILCZEK GARCIA
PEORIA, AZ
NPI
1649636713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2016-01-05
Last Update Date
2016-01-05
Business Address
MR. ALIFONZO WILCZEK GARCIA AT, EMT
11200 N 83RD AVE
PEORIA, AZ 85345-5945
Phone number: 623-486-6310
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Mailing Address
MR. ALIFONZO WILCZEK GARCIA AT, EMT
11200 N 83RD AVE
PEORIA, AZ 85345-5945
Phone number: 623-486-6310
Copy
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