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Individual

LORI RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED., ATC

Contact information

Practice address
1313 PARK BLVD, SAN DIEGO CITY COLLEGE, SAN DIEGO, CA 92101
(619) 388-3750
(619) 388-3651
Mailing address
4046 ARIZONA ST APT 4, SAN DIEGO, CA 92104-1778
(619) 388-3750
(619) 388-3651

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
07/28/2016
Last updated
07/28/2016
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