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1952721763
DIANE S WATANABE
SANTA MONICA, CA
NPI
1952721763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: 000080379)
Enumeration Date
2014-04-19
Last Update Date
2014-04-19
Business Address
Ms. DIANE S WATANABE ATC
1900 PICO BLVD SMC DEPT OF ATHLETICS
SANTA MONICA, CA 90405-1628
Phone number: 310-434-4314
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Mailing Address
Ms. DIANE S WATANABE ATC
1900 PICO BLVD SMC DEPT OF ATHLETICS
SANTA MONICA, CA 90405-1628
Phone number: 310-434-4314
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