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1194175166
LAUREN MISHEL MINNICK
VICTORVILLE, CA
NPI
1194175166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA 2000023562)
Enumeration Date
2016-06-20
Last Update Date
2016-06-20
Business Address
-- LAUREN MISHEL MINNICK MS ATC
16500 MOJAVE DR
VICTORVILLE, CA 92395-3822
Phone number: 760-792-0861
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Mailing Address
-- LAUREN MISHEL MINNICK MS ATC
12531 EL DORADO PL
VICTORVILLE, CA 92392-8063
Phone number:
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