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1902633399
ISABEL ARMENTA PORTILLO
GOODYEAR, AZ
NPI
1902633399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ ATR-100130)
Enumeration Date
2024-09-18
Last Update Date
2024-09-18
Business Address
ISABEL ARMENTA PORTILLO
2601 S WOOD BLVD
GOODYEAR, AZ 85338-6914
Phone number: 408-781-7907
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Mailing Address
ISABEL ARMENTA PORTILLO
5768 BLOSSOM AVE
SAN JOSE, CA 95123-3207
Phone number: 408-781-7907
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