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1780093278
SHIRLEEAH FAYSON
PHOENIX, AZ
NPI
1780093278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ 1197)
Enumeration Date
2014-08-08
Last Update Date
2014-08-08
Business Address
-- SHIRLEEAH FAYSON AT
4710 N 5TH ST
PHOENIX, AZ 85012-1738
Phone number: 602-277-3772
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Mailing Address
-- SHIRLEEAH FAYSON AT
7311 E SOUTHERN AVE APT. 3052
MESA, AZ 85209-2701
Phone number: 302-650-9410
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