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Individual

KRYSTINA AGUILERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, ATC

Contact information

Practice address
9635 GREENLEAF AVE, SANTA FE SPRINGS, CA 90670-3001
(909) 900-5195
Mailing address
2594 N FITZSIMMONS AVE, RIALTO, CA 92377-4170

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
04/09/2018
Last updated
04/09/2018
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