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Individual

MR. MARC FABIAN NORCROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, ATC

Contact information

Practice address
UCLA ATHLETIC DEPARTMENT, 325 WESTWOOD PLAZA, LOS ANGELES, CA 90095-0001
(310) 825-3335
(310) 206-6107
Mailing address
1703 1/2 MANHATTAN AVE, HERMOSA BEACH, CA 90254-3456
(310) 372-7387
(310) 206-1985

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/29/2006
Last updated
07/08/2007
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