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1386098184
BRENNEN REESE
LOGAN, UT
NPI
1386098184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 8321742-4810)
Enumeration Date
2016-04-18
Last Update Date
2016-04-18
Business Address
-- BRENNEN REESE ATC
1400 N 500 E
LOGAN, UT 84341-2455
Phone number: 435-716-2890
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Mailing Address
-- BRENNEN REESE ATC
500 E 1400 N
LOGAN, UT 84341
Phone number:
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