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1174040968
DANTE ADIB PICARDI
SAN DIEGO, CA
NPI
1174040968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA 2000021753)
Enumeration Date
2017-08-23
Last Update Date
2017-08-23
Business Address
DANTE ADIB PICARDI ATC
2444 30TH ST APT 23
SAN DIEGO, CA 92104-5443
Phone number: 619-344-1507
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Mailing Address
DANTE ADIB PICARDI ATC
2444 30TH ST APT 23
SAN DIEGO, CA 92104-5443
Phone number: 619-344-1507
Copy
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