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1821560194
JESSICA RUSHFORTH
GLENDALE, AZ
NPI
1821560194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ ATR-000692)
Enumeration Date
2018-12-26
Last Update Date
2018-12-26
Business Address
JESSICA RUSHFORTH ATC, LAT
18424 N 51ST AVE
GLENDALE, AZ 85308-1443
Phone number: 602-228-8345
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Mailing Address
JESSICA RUSHFORTH ATC, LAT
1603 E WAGONER RD
PHOENIX, AZ 85022-1359
Phone number: 602-633-1245
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