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1649669359
DAVID JAKE MALDONADO
LOS ALAMOS, NM
NPI
1649669359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-01-19
Last Update Date
2016-04-08
Business Address
-- DAVID JAKE MALDONADO ATC, LAT
30 VERDE RIDGE ST APT C
LOS ALAMOS, NM 87544-3243
Phone number: 505-515-9816
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Mailing Address
-- DAVID JAKE MALDONADO ATC, LAT
30 VERDE RIDGE ST APT C
LOS ALAMOS, NM 87544-3243
Phone number: 505-515-9816
Copy