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1164935813
GARRISON AKIO-LEE CHAN
LOGAN, UT
NPI
1164935813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2017-11-15
Last Update Date
2017-11-15
Business Address
GARRISON AKIO-LEE CHAN ATC, LAT
7400 OLD MAIN HL
LOGAN, UT 84322-7400
Phone number: 424-200-0589
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Mailing Address
GARRISON AKIO-LEE CHAN ATC, LAT
1555 5TH ST
MANHATTAN BEACH, CA 90266-6339
Phone number: 310-318-3241
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