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Individual

JOE RIGOBERTO CARBAJAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AT

Contact information

Practice address
4011 W ROSE GARDEN LN, GLENDALE, AZ 85308-4765
(602) 524-7814
(623) 776-9115
Mailing address
4011 W ROSE GARDEN LN, GLENDALE, AZ 85308-4765
(602) 524-7814
(623) 776-9115

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
03/08/2016
Last updated
03/08/2016
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