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Individual

MR. SEAN A CARBAJAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
18111 NORDHOFF ST, NORTHRIDGE, CA 91330-0001
(818) 677-1200
Mailing address
5700 ETIWANDA AVE UNIT 185, TARZANA, CA 91356-2539
(760) 533-3361

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
11/05/2024
Last updated
11/05/2024
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