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1184014177
CRAIG COSGROVE
PROVO, UT
NPI
1184014177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 7257816)
Enumeration Date
2015-01-28
Last Update Date
2015-01-28
Business Address
Mr. CRAIG COSGROVE ATC
2005 N 900 E
PROVO, UT 84602-1763
Phone number: 801-422-7595
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Mailing Address
Mr. CRAIG COSGROVE ATC
2005 N 900 E
PROVO, UT 84602-1763
Phone number: 801-422-7595
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