COLE KISSICK

NORTHRIDGE, CA
NPI1073022976
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA  2000036671)
Enumeration Date2017-09-22
Last Update Date2019-07-25
Business Address
COLE KISSICK
18111 NORDHOFF ST
NORTHRIDGE, CA 91330-0001
Phone number: 805-373-1486
Mailing Address
COLE KISSICK
18111 NORDHOFF ST
NORTHRIDGE, CA 91330-0001
Phone number:
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