BRANDON HENTKOWSKI

SALT LAKE CITY, UT
NPI1588053151
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI  2000010234)
Enumeration Date2015-01-20
Last Update Date2015-01-20
Business Address
-- BRANDON HENTKOWSKI ATC
590 S WAKARA WAY
SALT LAKE CITY, UT 84108-1200
Phone number: 801-587-7198
Mailing Address
-- BRANDON HENTKOWSKI ATC
590 S WAKARA WAY
SALT LAKE CITY, UT 84108-1200
Phone number: 801-587-7198
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