Individual
MR. CHARLES DEAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
500 E 9TH ST, CLAREMONT, CA 91711-5929
(909) 607-9699
Mailing address
12240 NORINO DR, WHITTIER, CA 90601-2304
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
200000945
CA
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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