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1821770140
RANDY CANCINO
RIVERSIDE, CA
NPI
1821770140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA 2000054404)
Enumeration Date
2023-08-04
Last Update Date
2023-08-04
Business Address
RANDY CANCINO ATC
900 UNIVERSITY AVE
RIVERSIDE, CA 92521-0001
Phone number: 951-827-1012
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Mailing Address
RANDY CANCINO ATC
111 W HARRISON ST UNIT 334
CORONA, CA 92878-3407
Phone number: 714-788-3867
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