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Individual

MS. KERI ANN EICHENBERGER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
A.T.C

Contact information

Practice address
1 GRAND AVE, CP ATHLETICS, SAN LUIS OBISPO, CA 93401
(805) 756-5491
(805) 756-7058
Mailing address
312 MILLER WAY, ARROYO GRANDE, CA 93420-2004
(805) 305-3900

Taxonomy

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

Other

Enumeration date
05/02/2006
Last updated
07/08/2007
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