DANIEL MUMMERT

PHOENIX, AZ
NPI1912274655
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ  0975)
Enumeration Date2011-11-23
Last Update Date2011-11-23
Business Address
-- DANIEL MUMMERT AT
4701 N CENTRAL AVE
PHOENIX, AZ 85012-1723
Phone number: 602-264-5291
Mailing Address
-- DANIEL MUMMERT AT
4701 N CENTRAL AVE
PHOENIX, AZ 85012-1723
Phone number:
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