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1376019919
SUMMER BLOOM RUNESTAD
LOS ANGELES, CA
NPI
1376019919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA 120502018)
Enumeration Date
2018-10-22
Last Update Date
2018-10-22
Business Address
SUMMER BLOOM RUNESTAD ATC
403 W ADAMS BLVD
LOS ANGELES, CA 90007-2664
Phone number: 213-910-3526
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Mailing Address
SUMMER BLOOM RUNESTAD ATC
403 W ADAMS BLVD
LOS ANGELES, CA 90007-2664
Phone number: 213-910-3526
Copy
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