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1831663434
ELISHA NICCOLE CUSUMANO
DAVIS, CA
NPI
1831663434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-01-16
Last Update Date
2019-01-16
Business Address
ELISHA NICCOLE CUSUMANO MS, ATC
264 HICKEY GYM 1 SHIELDS AVE
DAVIS, CA 95616
Phone number: 541-335-9787
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Mailing Address
ELISHA NICCOLE CUSUMANO MS, ATC
3501 37TH ST
SACRAMENTO, CA 95817-3624
Phone number: 541-335-9787
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