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1275030538
IANCARLO MORALES
SAN FRANCISCO, CA
NPI
1275030538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-04-12
Last Update Date
2024-08-01
Business Address
IANCARLO MORALES ATC
2222 BROADWAY ST
SAN FRANCISCO, CA 94115-1240
Phone number: 209-829-8071
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Mailing Address
IANCARLO MORALES ATC
1045 BONTA AVE
GUSTINE, CA 95322-1723
Phone number: 209-829-8071
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