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Individual

LAUREN G SMALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
744 52ND ST, OAKLAND, CA 94609-1810
(510) 428-3558
Mailing address
1348 ASHBY AVE, BERKELEY, CA 94702-2404

Taxonomy

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

Other

Enumeration date
02/15/2006
Last updated
08/15/2014
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