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1245636612
MARRISELA LOPEZ
OGDEN, UT
NPI
1245636612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2014-11-13
Last Update Date
2014-11-13
Business Address
-- MARRISELA LOPEZ
3848 HARRISON BLVD
OGDEN, UT 84408-0001
Phone number: 801-626-6000
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Mailing Address
-- MARRISELA LOPEZ
3848 HARRISON BLVD
OGDEN, UT 84408-0001
Phone number:
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