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1043412562
BENJAMIN H ROSS
PROVO, UT
NPI
1043412562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 5471928-4810)
Enumeration Date
2007-06-05
Last Update Date
2007-07-08
Business Address
-- BENJAMIN H ROSS MS, ATC
3570 N. TIMPVIEW DR.
PROVO, UT 84604
Phone number: 801-221-9720
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Mailing Address
-- BENJAMIN H ROSS MS, ATC
439 N 1040 E
OREM, UT 84097-8281
Phone number: 801-225-1798
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