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1912453689
RENATA ODONGO
PHOENIX, AZ
NPI
1912453689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2016-08-31
Last Update Date
2016-08-31
Business Address
-- RENATA ODONGO AT,CKTP. CGT
4710 N 5TH ST
PHOENIX, AZ 85012-1738
Phone number: 816-262-1979
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Mailing Address
-- RENATA ODONGO AT,CKTP. CGT
4410 S. VAL VISTA DR. APT 2089
MESA, AZ 85204-6447
Phone number: 816-262-1979
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