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1619685401
STEVEN MA
SAN DIEGO, CA
NPI
1619685401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-11-09
Last Update Date
2022-11-09
Business Address
STEVEN MA
4310 CLAIREMONT DR
SAN DIEGO, CA 92117-5533
Phone number: 901-849-5161
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Mailing Address
STEVEN MA
4310 CLAIREMONT DR
SAN DIEGO, CA 92117-5533
Phone number:
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