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1700469228
DREAM GONZALES
LACEY, WA
NPI
1700469228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: 2000040853)
Enumeration Date
2021-05-03
Last Update Date
2021-05-03
Business Address
DREAM GONZALES ATC
6072 ILLINOIS LN SE UNIT A
LACEY, WA 98513-5095
Phone number: 909-407-2286
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Mailing Address
DREAM GONZALES ATC
6072 ILLINOIS LN SE UNIT A
LACEY, WA 98513-5095
Phone number: 909-407-2286
Copy
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