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Individual

LAUREN MICHELLE BLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5500 CAMPANILE DR, SAN DIEGO, CA 92182-0001
(408) 500-9667
Mailing address
2660 MISSION VILLAGE DR, SAN DIEGO, CA 92123-3635

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
246Z00000X
Other Specialist/Technologist

Other

Enumeration date
03/17/2021
Last updated
03/17/2021
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