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1346640083
JASON CHAN
OGDEN, UT
NPI
1346640083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2014-08-29
Last Update Date
2014-08-29
Business Address
-- JASON CHAN
1435 VILLAGE DR DEPARTMENT 2801
OGDEN, UT 84408-5150
Phone number: 801-626-7771
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Mailing Address
-- JASON CHAN
1824 SHOSHONE DR
OGDEN, UT 84403-4685
Phone number: 208-224-0479
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