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1518987882
ANTONIO MARCO ONTIVEROS
RIVERSIDE, CA
NPI
1518987882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
Mr. ANTONIO MARCO ONTIVEROS ATC
UNIVERISTY OF CALIFORNIA RIVERSIDE ATHLETICS DEPT
RIVERSIDE, CA 92521-0001
Phone number: 951-827-3813
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Mailing Address
Mr. ANTONIO MARCO ONTIVEROS ATC
29513 LUXOR RD
MENIFEE, CA 92584-8604
Phone number: 951-827-3813
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