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1013752930
BRIIAHNA KC STAKER
MISSOULA, MT
NPI
1013752930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2024-07-01
Last Update Date
2024-07-01
Business Address
BRIIAHNA KC STAKER
32 CAMPUS DR
MISSOULA, MT 59801-4494
Phone number: 406-243-0211
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Mailing Address
BRIIAHNA KC STAKER
1582 E 8850 S
SANDY, UT 84093-1565
Phone number: 385-235-2844
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