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1013490614
KORLYN GULBRANSON
PROVO, UT
NPI
1013490614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 10933369-4810)
Enumeration Date
2018-09-10
Last Update Date
2018-09-10
Business Address
KORLYN GULBRANSON ATC
123 SAB APT 4
PROVO, UT 84602-1547
Phone number: 801-935-0048
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Mailing Address
KORLYN GULBRANSON ATC
284 N 200 E APT 4
PROVO, UT 84606-2939
Phone number: 801-935-0048
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