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1073022976
COLE KISSICK
NORTHRIDGE, CA
NPI
1073022976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: CA 2000036671)
Enumeration Date
2017-09-22
Last Update Date
2019-07-25
Business Address
COLE KISSICK
18111 NORDHOFF ST
NORTHRIDGE, CA 91330-0001
Phone number: 805-373-1486
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Mailing Address
COLE KISSICK
18111 NORDHOFF ST
NORTHRIDGE, CA 91330-0001
Phone number:
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