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1124795182
JESUS TINOCO-MALACARA
LONG BEACH, CA
NPI
1124795182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA 2000050115)
Enumeration Date
2021-08-26
Last Update Date
2021-08-26
Business Address
JESUS TINOCO-MALACARA ATC, EMT
406 E 61ST ST
LONG BEACH, CA 90805-2904
Phone number: 562-331-8276
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Mailing Address
JESUS TINOCO-MALACARA ATC, EMT
406 E 61ST ST
LONG BEACH, CA 90805-2904
Phone number: 562-331-8276
Copy
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