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Individual

MICHAEL MARCELINO CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, CSCS

Contact information

Practice address
4840 E INDIAN SCHOOL RD, SUITE 103, PHOENIX, AZ 85018-5500
(602) 956-2850
(602) 956-2877
Mailing address
4840 E INDIAN SCHOOL RD, SUITE 103, PHOENIX, AZ 85018-5500
(602) 956-2850
(602) 956-2877

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0930
AZ

Other

Enumeration date
02/25/2010
Last updated
02/25/2010
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