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1215512579
TATIANA DE LA MORA
SAN DIEGO, CA
NPI
1215512579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2021-03-17
Last Update Date
2021-03-17
Business Address
TATIANA DE LA MORA
3900 LOMALAND DR
SAN DIEGO, CA 92106-2899
Phone number: 619-849-2200
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Mailing Address
TATIANA DE LA MORA
337 E 220TH ST
CARSON, CA 90745-3105
Phone number: 310-251-1722
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