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1275924722
CHARLES MARSHALL STODDARD
SANDY, UT
NPI
1275924722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 9265541-4810)
Enumeration Date
2015-02-05
Last Update Date
2015-02-05
Business Address
-- CHARLES MARSHALL STODDARD ATC, LAT
9256 S STATE ST
SANDY, UT 84070-2604
Phone number: 801-675-9813
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Mailing Address
-- CHARLES MARSHALL STODDARD ATC, LAT
9256 S STATE ST
SANDY, UT 84070-2604
Phone number:
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