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Individual

JAY MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
15950 N CIVIC CENTER PLZ, SURPRISE, AZ 85374-7464
(724) 766-4040
Mailing address
2884 E BARDONNER RD, GIBSONIA, PA 15044-8222

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1689
AZ

Other

Enumeration date
11/14/2017
Last updated
06/20/2018
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