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1225184534
ALICIA MARIE STARK
SAN DIEGO, CA
NPI
1225184534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-01-27
Last Update Date
2007-07-08
Business Address
Ms. ALICIA MARIE STARK ATC
5998 ALCALA PARK
SAN DIEGO, CA 92110-2476
Phone number: 619-260-8895
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Mailing Address
Ms. ALICIA MARIE STARK ATC
3868 KENDALL ST
SAN DIEGO, CA 92109-6504
Phone number: 619-417-1563
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