DANIEL A DELAPORTE

PROVO, UT
NPI1487384285
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT  12875561-4810)
Enumeration Date2022-06-14
Last Update Date2022-06-14
Business Address
DANIEL A DELAPORTE ATC
1157 N 300 W
PROVO, UT 84604-6124
Phone number: 801-357-1200
Mailing Address
DANIEL A DELAPORTE ATC
9891 S HILLS LN APT 121
SANDY, UT 84070-4408
Phone number: 573-629-5818
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