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OSCAR CORACERO ATC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1558324608

Individual Registrant:
 OSCAR  CORACERO ATC
Gender: M

Location and contact information for practice:
13500 VICTORIA ST  ETIWANDA, CA 91739-2043 US
Tel: 909-899-2531  Fax: 909-899-3661

Contact information for business:
2829 UNION ST  RIALTO, CA 92376-4534 US
Tel: 909-875-4095  Fax: --

Registration Information:
NPI: 1558324608
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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