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1114149556
FAWN MICHEL
LOGAN, UT
NPI
1114149556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 6334257-4810)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
Ms. FAWN MICHEL ATC
7400 OLD MAIN HL
LOGAN, UT 84322-7400
Phone number: 435-797-3636
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Mailing Address
Ms. FAWN MICHEL ATC
7400 OLD MAIN HL
LOGAN, UT 84322-7400
Phone number: 435-797-3636
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