Individual
MICHELLE SUSAN VARNELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4710 N 5TH ST, PHOENIX, AZ 85012-1738
(602) 240-3119
Mailing address
4101 E BASELINE RD, #1433, GILBERT, AZ 85234-9101
(602) 463-9605
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0543
AZ
Other
Enumeration date
02/06/2006
Last updated
07/08/2007
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