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1265979462
CRYSTAL JADE LEE
SANTA CLARA, CA
NPI
1265979462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-01-25
Last Update Date
2017-01-25
Business Address
Miss CRYSTAL JADE LEE ATC, CES
500 EL CAMINO REAL
SANTA CLARA, CA 95050-4345
Phone number: 408-551-3193
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Mailing Address
Miss CRYSTAL JADE LEE ATC, CES
4343 SHORT HILL RD
OAKLAND, CA 94605-4646
Phone number: 510-289-9240
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