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1598289274
LUCAS ALEXANDER BRYAN
HIGHLAND, UT
NPI
1598289274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-08-03
Last Update Date
2025-12-10
Business Address
LUCAS ALEXANDER BRYAN
10189 N 4800 W
HIGHLAND, UT 84003-8828
Phone number: 801-610-8810
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Mailing Address
LUCAS ALEXANDER BRYAN
642 E 60 S
AMERICAN FORK, UT 84003-2862
Phone number: 208-529-3096
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