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1790381077
MALINA CANSIBOG
FLAGSTAFF, AZ
NPI
1790381077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-12-10
Last Update Date
2020-12-10
Business Address
Ms. MALINA CANSIBOG
923 W UNIVERSITY AVE APT 152
FLAGSTAFF, AZ 86001-3083
Phone number: 808-284-0418
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Mailing Address
Ms. MALINA CANSIBOG
923 W UNIVERSITY AVE APT 152
FLAGSTAFF, AZ 86001-3083
Phone number: 808-284-0418
Copy
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