PHILLIP JAMES ADRIAN HARTOG

PROVO, UT
NPI1124542451
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT  9903810-4810)
Enumeration Date2017-07-28
Last Update Date2022-07-21
Business Address
Mr. PHILLIP JAMES ADRIAN HARTOG ATC
1143 SMITH FIELDHOUSE
PROVO, UT 84602
Phone number: 801-422-4828
Mailing Address
Mr. PHILLIP JAMES ADRIAN HARTOG ATC
1143 SMITH FIELDHOUSE
PROVO, UT 84602-2246
Phone number: 801-422-4828
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