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Individual

ROBERICK MARTY PAREL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1833 W SOUTHERN AVE, MESA, AZ 85202-4822
(480) 461-7557
Mailing address
1645 E THOMAS RD, APT 1028, PHOENIX, AZ 85016-7631
(928) 897-1758

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1168
AZ

Other

Enumeration date
01/08/2015
Last updated
01/08/2015
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