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1306874300
KRISTIN J. LAGE
LOS ANGELES, CA
NPI
1306874300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT-1081)
Enumeration Date
2006-06-29
Last Update Date
2007-07-08
Business Address
Ms. KRISTIN J. LAGE M.S., ATC, LAT
UCLA INTERCOLLEGIATE ATHLETICS 175 MORGAN CENTER; BOX 951639
LOS ANGELES, CA 90095-1639
Phone number: 310-206-6107
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Mailing Address
Ms. KRISTIN J. LAGE M.S., ATC, LAT
302 S. VINE ST. P.O. BOX 254
ROLAND, IA 50236-0254
Phone number: 515-388-4681
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