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1043830011
PATRICK JOHN DELA CRUZ LAZARO
SAN FRANCISCO, CA
NPI
1043830011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-04-20
Last Update Date
2020-04-20
Business Address
PATRICK JOHN DELA CRUZ LAZARO ATC
1600 OWENS ST
SAN FRANCISCO, CA 94158-2261
Phone number: 628-242-6707
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Mailing Address
PATRICK JOHN DELA CRUZ LAZARO ATC
4188 GLENWOOD TER UNIT 1
UNION CITY, CA 94587-3908
Phone number:
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