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Individual

TINA GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
7670 N MISSISSIPPI AVE, PORTLAND, OR 97217-1374
(925) 768-4694
Mailing address
7670 N MISSISSIPPI AVE, PORTLAND, OR 97217-1374

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10154615
OR

Other

Enumeration date
01/15/2015
Last updated
01/15/2015
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