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1396399119
MACKENZIE CAMPBELL
LOGAN, UT
NPI
1396399119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 11336211-4810)
Enumeration Date
2019-07-30
Last Update Date
2019-07-30
Business Address
MACKENZIE CAMPBELL
160 OLD MAIN HL
LOGAN, UT 84322-0160
Phone number: 425-442-3809
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Mailing Address
MACKENZIE CAMPBELL
480 SUNCREST LN APT 102
LOGAN, UT 84341-3129
Phone number: 425-442-3809
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