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1487183851
DAN GRAHAM
PROVO, UT
NPI
1487183851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 7774096-4810)
Enumeration Date
2017-06-08
Last Update Date
2022-07-21
Business Address
DAN GRAHAM MS, ATC, EMT
1141 SFH
PROVO, UT 84602-2246
Phone number: 801-422-4670
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Mailing Address
DAN GRAHAM MS, ATC, EMT
1141 SFH
PROVO, UT 84602-2246
Phone number: 801-422-4670
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