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1760863344
GAVIN SERENE
GLENDALE, AZ
NPI
1760863344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ 1351)
Enumeration Date
2015-06-09
Last Update Date
2015-06-09
Business Address
-- GAVIN SERENE ATC
6051 W SWEETWATER AVE
GLENDALE, AZ 85304-1112
Phone number: 623-486-6400
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Mailing Address
-- GAVIN SERENE ATC
11837 W MONTE LINDO LN
SUN CITY, AZ 85373-5004
Phone number: 620-877-0358
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