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Individual

MR. JEFFREY LEE PAXSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC,L CSCS

Contact information

Practice address
630 E JENSEN ST, 193, MESA, AZ 85203-2590
(480) 699-3091
Mailing address
11001 TIMOTHY LN, ROANOKE, IN 46783-9618
(260) 638-4767

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0189
AZ

Other

Enumeration date
10/24/2005
Last updated
10/15/2010
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