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1891077590
MICAELA LOZANO
GREENVILLE, SC
NPI
1891077590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC 1265)
Enumeration Date
2011-09-19
Last Update Date
2011-09-19
Business Address
-- MICAELA LOZANO MAT, ATC, LAT, SCAT
3300 POINSETT HWY
GREENVILLE, SC 29613-0002
Phone number: 864-294-3535
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Mailing Address
-- MICAELA LOZANO MAT, ATC, LAT, SCAT
2721 EDINBORO DR
ARLINGTON, TX 76012-5396
Phone number: 817-277-0509
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