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1558900860
ANDREW SUPERAK
DAVIS, CA
NPI
1558900860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-01-03
Last Update Date
2020-01-03
Business Address
ANDREW SUPERAK ATC
315 W 14TH ST
DAVIS, CA 95616-1914
Phone number: 530-757-5400
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Mailing Address
ANDREW SUPERAK ATC
871 DONOVAN CT
DAVIS, CA 95618-4819
Phone number: 530-304-9812
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