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1093911232
SHAGRA THOMAS
ORANGE, CA
NPI
1093911232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: 100402047)
Enumeration Date
2007-06-25
Last Update Date
2007-07-08
Business Address
-- SHAGRA THOMAS ATC
1310 W STEWART DR #203
ORANGE, CA 92868-3854
Phone number: 408-691-4985
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Mailing Address
-- SHAGRA THOMAS ATC
17200 NEWHOPE ST #27A
FOUNTAIN VALLEY, CA 92708-4229
Phone number: 408-691-4985
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