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1417591728
CHRISTINE PADILLA
PROVO, UT
NPI
1417591728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 11127489-4810)
Enumeration Date
2019-10-30
Last Update Date
2019-10-30
Business Address
CHRISTINE PADILLA ATC, LAT
331 STUDENT ATHLETE BUILDING
PROVO, UT 84602
Phone number: 801-422-2096
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Mailing Address
CHRISTINE PADILLA ATC, LAT
72 W 880 N APT 6
PROVO, UT 84604-3486
Phone number:
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