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Individual

JILLIAN INUMERABLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
9500 GILMAN DR, LA JOLLA, CA 92093-5004
(858) 822-2572
Mailing address
17132 SILVER PINE RD, SAN DIEGO, CA 92127-7822
(858) 776-6589

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
02/08/2023
Last updated
02/08/2023
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