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1104577006
MADISON BUTLER
OGDEN, UT
NPI
1104577006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2022-01-12
Last Update Date
2022-01-12
Business Address
MADISON BUTLER
3992 CENTRAL CAMPUS DRIVE DEPT 3504
OGDEN, UT 84408-0001
Phone number: 801-626-7656
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Mailing Address
MADISON BUTLER
3992 CENTRAL CAMPUS DRIVE DEPT 3504
OGDEN, UT 84408-0001
Phone number:
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