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1841875101
KEAN TROY LUSTERIO DE LUNA
SAN DIEGO, CA
NPI
1841875101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2021-03-17
Last Update Date
2021-03-17
Business Address
KEAN TROY LUSTERIO DE LUNA
5500 CAMPANILE DR
SAN DIEGO, CA 92182-0001
Phone number: 619-992-5762
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Mailing Address
KEAN TROY LUSTERIO DE LUNA
2386 SPRING OAK WAY
SAN DIEGO, CA 92139-3908
Phone number: 619-992-5762
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