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Individual

MATTHEW CABANGUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATS

Contact information

Practice address
9730 HOPKINS DR, LA JOLLA, CA 92092-0001
(858) 822-2572
Mailing address
4204 45TH ST UNIT 11, SAN DIEGO, CA 92115-4877
(951) 570-4071

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
11/15/2017
Last updated
11/15/2017
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