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1427020312
RICHARD JAY SPENCER
SALT LAKE CITY, UT
NPI
1427020312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 6321066-4810)
Enumeration Date
2006-02-03
Last Update Date
2007-07-08
Business Address
Mr. RICHARD JAY SPENCER ATC-L
2166 S 1700 E
SALT LAKE CITY, UT 84106-4123
Phone number: 801-484-4343
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Mailing Address
Mr. RICHARD JAY SPENCER ATC-L
2599 GREEN ST
SALT LAKE CITY, UT 84106-1373
Phone number: 801-466-4914
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