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1447862891
SHEA DAVIN BRENDEL
LOGAN, UT
NPI
1447862891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 11837369-4810)
Enumeration Date
2020-08-18
Last Update Date
2020-08-18
Business Address
Mr. SHEA DAVIN BRENDEL LAT, ATC
7400 OLD MAIN HL
LOGAN, UT 84322-7400
Phone number: 435-797-1850
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Mailing Address
Mr. SHEA DAVIN BRENDEL LAT, ATC
805 N 50 W
LOGAN, UT 84321-3360
Phone number:
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