ALEXANDER KERN

LOGAN, UT
NPI1457807430
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT  9841758-4810)
Enumeration Date2016-08-30
Last Update Date2016-08-30
Business Address
-- ALEXANDER KERN
7425 OLD MAIN HL
LOGAN, UT 84322-7425
Phone number: 952-217-9884
Mailing Address
-- ALEXANDER KERN
644 E 600 N APT 21
LOGAN, UT 84321-3553
Phone number: 952-217-9884
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