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Individual

KRISTAL PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
838 ACADEMY DR, SOLANA BEACH, CA 92075-2034
(858) 755-8900
Mailing address
838 ACADEMY DR, SOLANA BEACH, CA 92075-2034
(858) 755-8900

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
10/17/2016
Last updated
10/17/2016
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