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1104225036
DIANE LAWRANCE
SAN DIEGO, CA
NPI
1104225036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2014-08-15
Last Update Date
2014-08-15
Business Address
Mrs. DIANE LAWRANCE MS, ATC, CSCS
4520 HAWLEY BLVD APT 3
SAN DIEGO, CA 92116-3453
Phone number: 858-722-3748
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Mailing Address
Mrs. DIANE LAWRANCE MS, ATC, CSCS
4520 HAWLEY BLVD APT 3
SAN DIEGO, CA 92116-3453
Phone number:
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