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1285961565
ADAM RAIKES
LOGAN, UT
NPI
1285961565
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 7415969-4810)
Enumeration Date
2009-11-07
Last Update Date
2015-05-04
Business Address
-- ADAM RAIKES ATC
7000 OLD MAIN HL
LOGAN, UT 84322-7000
Phone number: 520-271-9538
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Mailing Address
-- ADAM RAIKES ATC
7000 OLD MAIN HL
LOGAN, UT 84322-7000
Phone number:
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