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1770907156
COREY NEWTON
LOS ANGELES, CA
NPI
1770907156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT5317)
Enumeration Date
2014-02-06
Last Update Date
2017-01-26
Business Address
-- COREY NEWTON MA, LAT, ATC
940 W 35TH ST
LOS ANGELES, CA 90089-3211
Phone number: 213-740-6848
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Mailing Address
-- COREY NEWTON MA, LAT, ATC
10965 BLUFFSIDE DR #157
STUDIO CITY, CA 91604-3330
Phone number: 903-654-7905
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