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1134895949
MARYAH COHEN
MODESTO, CA
NPI
1134895949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: 2000032957)
Enumeration Date
2021-08-20
Last Update Date
2021-08-20
Business Address
MARYAH COHEN ATC
600 GARNER RD
MODESTO, CA 95357-0514
Phone number: 909-528-1089
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Mailing Address
MARYAH COHEN ATC
37060 OAK VIEW RD
YUCAIPA, CA 92399-9436
Phone number: 909-528-1089
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