ERIC RAUSTEIN

SALT LAKE CITY, UT
NPI1205306248
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT  10448567-4810)
Enumeration Date2018-12-03
Last Update Date2018-12-03
Business Address
ERIC RAUSTEIN LAT, ATC
650 S 1100 E
SALT LAKE CITY, UT 84102-3902
Phone number: 206-599-9201
Mailing Address
ERIC RAUSTEIN LAT, ATC
1155 E 2100 S APT 823
SALT LAKE CITY, UT 84106-6807
Phone number: 206-599-9201
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