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1558076091
AMBER NELSON
PROVO, UT
NPI
1558076091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 11878700-4810)
Enumeration Date
2023-01-19
Last Update Date
2023-01-19
Business Address
AMBER NELSON LAT, ATC
203 RB
PROVO, UT 84602-2118
Phone number: 801-422-1958
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Mailing Address
AMBER NELSON LAT, ATC
203 RB
PROVO, UT 84602-2118
Phone number:
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