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1376030460
KRISTA MARIA KIM
MESA, AZ
NPI
1376030460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: AZ 1476)
Enumeration Date
2018-04-16
Last Update Date
2018-04-16
Business Address
KRISTA MARIA KIM ATC
150 S ROOSEVELT RD APT 1029
MESA, AZ 85202-1076
Phone number: 925-699-1101
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Mailing Address
KRISTA MARIA KIM ATC
150 S ROOSEVELT RD APT 1029
MESA, AZ 85202-1076
Phone number: 925-699-1101
Copy
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