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Individual

NATHAN L LONGCRIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S., A.T.C.

Contact information

Practice address
800 N STATE COLLEGE BLVD, FULLERTON, CA 92831-3547
(714) 278-2860
Mailing address
114 N YALE AVE, FULLERTON, CA 92831-4510
(714) 526-5882

Taxonomy

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

Other

Enumeration date
02/26/2007
Last updated
07/08/2007
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