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1114481454
KALEB ASHWORTH
SPANISH FORK, UT
NPI
1114481454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WY 130)
Enumeration Date
2019-01-30
Last Update Date
2019-01-30
Business Address
KALEB ASHWORTH
512 W 550 N
SPANISH FORK, UT 84660-1449
Phone number: 801-376-5327
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Mailing Address
KALEB ASHWORTH
512 W 550 N
SPANISH FORK, UT 84660-1449
Phone number:
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