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1841742236
KEITH A CANDELARIA
WHITTIER, CA
NPI
1841742236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA 2000007169)
Enumeration Date
2016-11-01
Last Update Date
2016-11-01
Business Address
-- KEITH A CANDELARIA MS, ATC
13847 EARLHAM DR
WHITTIER, CA 90602-6669
Phone number: 562-907-4965
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Mailing Address
-- KEITH A CANDELARIA MS, ATC
9253 MYRON ST
PICO RIVERA, CA 90660-5246
Phone number: 562-544-1202
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