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1073988036
CHASE NELSON
OGDEN, UT
NPI
1073988036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-12-02
Last Update Date
2017-05-10
Business Address
-- CHASE NELSON ATC
1095 16TH ST 2
OGDEN, UT 84404-5990
Phone number: 801-550-8424
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Mailing Address
-- CHASE NELSON ATC
1095 16TH ST 2
OGDEN, UT 84404-5990
Phone number: 801-550-8424
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