Individual
KENT BULTEMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3219 W CALLE DE MANZANILLO, TUCSON, AZ 85742-8213
(260) 414-1202
Mailing address
3219 W CALLE DE MANZANILLO, TUCSON, AZ 85742-8213
(260) 414-1202
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1191
AZ
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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