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1124790423
DE ARA ANNISE WHITE
SAN DIEGO, CA
NPI
1124790423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2021-10-04
Last Update Date
2021-10-04
Business Address
DE ARA ANNISE WHITE
5998 ALCALA PARK
SAN DIEGO, CA 92110-2492
Phone number: 260-230-8260
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Mailing Address
DE ARA ANNISE WHITE
1708 CAL ORCHID PL UNIT 2
CHULA VISTA, CA 91913-3226
Phone number: 619-987-8584
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