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Joe Rigoberto Carbajal, AT

Specialist/Technologist, Athletic Trainer in Glendale, AZ. Individual provider (NPI-1).

NPI number1821459611
StatusActive
Last updated in NPPESMar 8, 2016

Details

NPI
1821459611
Entity type
Individual (NPI-1)
Name
Joe Rigoberto Carbajal
Credential
AT
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 8, 2016
Last updated
Mar 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

4011 W Rose Garden Ln
Glendale, AZ 85308-4765

Phone 602-524-7814 · Fax 623-776-9115

Mailing address

4011 W Rose Garden Ln
Glendale, AZ 85308-4765

Phone 602-524-7814 · Fax 623-776-9115

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