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1053900183
MARISSA BRUNNER
OGDEN, UT
NPI
1053900183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2021-01-13
Last Update Date
2021-01-13
Business Address
MARISSA BRUNNER
1435 VILLAGE DR DEPT 2801
OGDEN, UT 84408-2801
Phone number: 801-626-0000
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Mailing Address
MARISSA BRUNNER
1435 VILLAGE DR DEPT 2801
OGDEN, UT 84408-2801
Phone number:
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