BENJAMIN H ROSS

PROVO, UT
NPI1043412562
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT  5471928-4810)
Enumeration Date2007-06-05
Last Update Date2007-07-08
Business Address
-- BENJAMIN H ROSS MS, ATC
3570 N. TIMPVIEW DR.
PROVO, UT 84604
Phone number: 801-221-9720
Mailing Address
-- BENJAMIN H ROSS MS, ATC
439 N 1040 E
OREM, UT 84097-8281
Phone number: 801-225-1798
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