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1518509223
JESSICA MANSELL
WEST VALLEY CITY, UT
NPI
1518509223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-10-14
Last Update Date
2019-10-14
Business Address
JESSICA MANSELL
4643 S 4000 W
WEST VALLEY CITY, UT 84120-6233
Phone number: 801-968-1896
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Mailing Address
JESSICA MANSELL
235 NAUTICAL DR
STANSBURY PARK, UT 84074-8175
Phone number: 801-870-0274
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