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Individual

LAURIE R BACHAND

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MA, ATC

Contact information

Practice address
1971 SAINT LAWRENCE DR, SANTA CLARA, CA 95051-2129
(408) 296-3000
Mailing address
1088 LAS PALMAS DR, SANTA CLARA, CA 95051-5352
(508) 272-1278

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
04/26/2006
Last updated
07/08/2007
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