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Individual

CAROLYN RAE PETERS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MA, ATC, CSCS

Contact information

Practice address
5505 CAMPANILE DR., AAC 1402, SAN DIEGO, CA 92182-4313
(619) 594-7660
(619) 594-7654
Mailing address
5742 HUGHES ST, SAN DIEGO, CA 92115-6513
(619) 594-7660
(619) 594-7654

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
CA

Other

Enumeration date
02/22/2006
Last updated
07/08/2007
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