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Individual

MR. KIRK CONCEPCION

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
A.T.,C

Contact information

Practice address
7070 MARKETPLACE DRIVE, GOLETA, CA 93117
(805) 685-1755
Mailing address
15 VEREDA LEYENDA, GOLETA, CA 93117
(714) 315-3783

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
CA

Other

Enumeration date
02/14/2008
Last updated
02/14/2008
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