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1477907814
MARCUS MAW
LOGAN, UT
NPI
1477907814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2016-04-22
Last Update Date
2020-04-25
Business Address
-- MARCUS MAW ATC
500 E 1400 N
LOGAN, UT 84341
Phone number: 435-716-2882
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Mailing Address
-- MARCUS MAW ATC
500 E 1400 N
LOGAN, UT 84341
Phone number:
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