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1689182628
ISRAEL ASPERICUETA
PHOENIX, AZ
NPI
1689182628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ 0966)
Enumeration Date
2018-01-11
Last Update Date
2018-01-11
Business Address
ISRAEL ASPERICUETA
2625 E CACTUS RD
PHOENIX, AZ 85032-7042
Phone number: 602-489-5300
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Mailing Address
ISRAEL ASPERICUETA
3514 W VOLTAIRE AVE
PHOENIX, AZ 85029-2117
Phone number: 602-885-2648
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