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Individual

MARIANNE ANDERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
200 RIVERVIEW PKWY, SANTEE, CA 92071-5821
(858) 382-9342
Mailing address
11932 CYPRESS CANYON RD UNIT 3, SAN DIEGO, CA 92131-5722
(858) 382-9342

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000013753
CA

Other

Enumeration date
08/11/2014
Last updated
08/11/2014
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