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Individual

JESSICA RUSHFORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
18424 N 51ST AVE, GLENDALE, AZ 85308-1443
(602) 228-8345
Mailing address
1603 E WAGONER RD, PHOENIX, AZ 85022-1359
(602) 633-1245

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-000692
AZ

Other

Enumeration date
12/26/2018
Last updated
12/26/2018
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