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Individual

EDWARD J CARRILLO III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5241 N MAPLE AVE, FRESNO, CA 93740-0001
(559) 278-4240
Mailing address
3807 PALMETTO AVE, RIALTO, CA 92377-3505
(909) 319-2590

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
07/02/2025
Last updated
07/02/2025
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