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Individual

MR. JEFFREY HERNDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8701 S HARDY DR, TEMPE, AZ 85284-2800
(602) 379-0101
(480) 467-1952
Mailing address
8701 S HARDY DR, TEMPE, AZ 85284-2800
(602) 379-0101
(480) 467-1952

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0175
AZ

Other

Enumeration date
02/07/2014
Last updated
02/07/2014
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