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1164920971
ALYSSA KEKAUOHA
OREM, UT
NPI
1164920971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 10079019-4810)
Enumeration Date
2018-01-26
Last Update Date
2018-01-26
Business Address
ALYSSA KEKAUOHA ATC
800 W UNIVERSITY PKWY # MS 282
OREM, UT 84058-6703
Phone number: 801-863-6762
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Mailing Address
ALYSSA KEKAUOHA ATC
800 W UNIVERSITY PKWY # MS 282
OREM, UT 84058-6703
Phone number:
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