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1851517411
DUSTY JOE SMITH
LOS ANGELES, CA
NPI
1851517411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA 030602012)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
-- DUSTY JOE SMITH A.T.C.
100 S BARRINGTON PL
LOS ANGELES, CA 90049-3306
Phone number: 310-889-2794
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Mailing Address
-- DUSTY JOE SMITH A.T.C.
1328 19TH ST APT A
SANTA MONICA, CA 90404-1926
Phone number:
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