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1245748516
TALON BIRD
OGDEN, UT
NPI
1245748516
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 6120804-4810)
Enumeration Date
2018-01-19
Last Update Date
2018-01-19
Business Address
Mr. TALON BIRD LAT, ATC, EMT
3870 STADIUM WAY DEPT 2701
OGDEN, UT 84408-2701
Phone number: 801-626-6000
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Mailing Address
Mr. TALON BIRD LAT, ATC, EMT
374 E 5450 S APT E1
WASHINGTON TERRACE, UT 84405-6798
Phone number: 801-389-9744
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