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1154953081
ALIX ANDREA GIESE
ANAHEIM, CA
NPI
1154953081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-02-08
Last Update Date
2020-02-08
Business Address
ALIX ANDREA GIESE ATC
7782 E PORTOFINO AVE
ANAHEIM, CA 92808-1551
Phone number: 208-608-6663
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Mailing Address
ALIX ANDREA GIESE ATC
7782 E PORTOFINO AVE
ANAHEIM, CA 92808-1551
Phone number:
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