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1447630439
ALEX ALLEN
NIPOMO, CA
NPI
1447630439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2015-06-04
Last Update Date
2015-06-04
Business Address
MISS ALEX ALLEN ATC
1040 OLYMPIC WAY
NIPOMO, CA 93444-9366
Phone number: 805-441-0252
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Mailing Address
MISS ALEX ALLEN ATC
1040 OLYMPIC WAY
NIPOMO, CA 93444-9366
Phone number: 805-441-0252
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