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1144847161
TARA MARQUEZ
PROVO, UT
NPI
1144847161
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Former Name
TARA FACER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-06-26
Last Update Date
2020-06-26
Business Address
TARA MARQUEZ ATC
BRIGHAM YOUNG UNIVERSITY SPORTS MEDICINE 123 SAB
PROVO, UT 84602
Phone number: 801-422-1549
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Mailing Address
TARA MARQUEZ ATC
533 E 550 S
OREM, UT 84097-6450
Phone number: 801-380-6788
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