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1083254395
SHAYDE LECLAIR
OGDEN, UT
NPI
1083254395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-01-14
Last Update Date
2020-01-14
Business Address
SHAYDE LECLAIR
1435 VILLAGE DR DEPT 3405
OGDEN, UT 84408-5150
Phone number: 801-626-7656
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Mailing Address
SHAYDE LECLAIR
1435 VILLAGE DR DEPT 3405
OGDEN, UT 84408-5150
Phone number: 801-626-7656
Copy
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