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Individual

MARIO G MOTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, CSCS

Contact information

Practice address
1801 COLORADO AVE, STE 260, TURLOCK, CA 95382-2706
(209) 216-3360
Mailing address
1801 COLORADO AVE, STE 260, TURLOCK, CA 95382-2706
(209) 216-3360
(209) 216-3365

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
11/20/2006
Last updated
12/29/2015
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