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1194910943
JEFFRY WILLIAM SPECKMAN
OGDEN, UT
NPI
1194910943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 284667-4810)
Enumeration Date
2007-09-13
Last Update Date
2007-09-13
Business Address
-- JEFFRY WILLIAM SPECKMAN ATC/L
4403 HARRISON BLVD SUITE 2440
OGDEN, UT 84403-3271
Phone number: 801-387-2775
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Mailing Address
-- JEFFRY WILLIAM SPECKMAN ATC/L
4403 HARRISON BLVD SUITE 2440
OGDEN, UT 84403-3271
Phone number: 801-387-2775
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