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1407462237
LORENZO AGUIRRE
MODESTO, CA
NPI
1407462237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA 2000039567)
Enumeration Date
2020-09-17
Last Update Date
2020-09-17
Business Address
LORENZO AGUIRRE ATC
1836 LAPHAM DR
MODESTO, CA 95354-3900
Phone number: 209-529-0150
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Mailing Address
LORENZO AGUIRRE ATC
4149 BACINADA CT
FREMONT, CA 94536-4601
Phone number: 510-579-9378
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