BILL SURANARONK ITO

COVINA, CA
NPI1740494889
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA  2255A2300X)
Enumeration Date2007-05-09
Last Update Date2007-07-08
Business Address
Mr. BILL SURANARONK ITO ATC
531 S ALDENVILLE AVE
COVINA, CA 91723-2909
Phone number: 707-237-1303
Mailing Address
Mr. BILL SURANARONK ITO ATC
531 S ALDENVILLE AVE
COVINA, CA 91723-2909
Phone number: 707-237-1303
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