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1629438742
JOSE TIENDA
STOCKTON, CA
NPI
1629438742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2016-03-02
Last Update Date
2016-03-02
Business Address
-- JOSE TIENDA MS,ATC,CES
530 W WILLOW ST
STOCKTON, CA 95203-1834
Phone number: 209-639-1408
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Mailing Address
-- JOSE TIENDA MS,ATC,CES
530 W WILLOW ST
STOCKTON, CA 95203-1834
Phone number: 209-639-1408
Copy
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