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1780155374
MICHAEL HLAVATY
PHOENIX, AZ
NPI
1780155374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-12-08
Last Update Date
2021-03-31
Business Address
MICHAEL HLAVATY ATC
4529 E FRYE RD
PHOENIX, AZ 85048-7601
Phone number: 620-617-7371
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Mailing Address
MICHAEL HLAVATY ATC
4529 E FRYE RD
PHOENIX, AZ 85048-7601
Phone number:
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