Individual
MR. CHASE MICHAEL PAULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
21400 PATHFINDER RD, DIAMOND BAR, CA 91765-2747
(909) 594-1405
(909) 595-8301
Mailing address
2007 WINDEMERE WAY, UPLAND, CA 91784-7903
(909) 917-3578
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/15/2011
Last updated
11/20/2012
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