RABERTA JO JOHNSON

PRICE, UT
NPI1417596446
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT  10476504-4810)
Enumeration Date2019-12-20
Last Update Date2019-12-20
Business Address
RABERTA JO JOHNSON
451 E 400 N
PRICE, UT 84501-2626
Phone number: 435-262-0216
Mailing Address
RABERTA JO JOHNSON
1600 E 800 N
PRICE, UT 84501-2008
Phone number: 435-262-0216
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