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1033652698
DEREK CANTIENI
SAN DIEGO, CA
NPI
1033652698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA 070602009)
Enumeration Date
2016-11-29
Last Update Date
2016-11-29
Business Address
-- DEREK CANTIENI
3262 ASHFORD ST UNIT H
SAN DIEGO, CA 92111-5007
Phone number: 510-468-2649
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Mailing Address
-- DEREK CANTIENI
3262 ASHFORD ST UNIT H
SAN DIEGO, CA 92111-5007
Phone number: 510-468-2649
Copy
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