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Individual

LEAH STURDEVANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2605 CARLSBAD BLVD, CARLSBAD, CA 92008-2208
(760) 729-2385
Mailing address
11243 PASEO MONTANOSO, APT. 99, SAN DIEGO, CA 92127-5970
(858) 361-1767

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/15/2015
Last updated
06/15/2015
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