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1609265453
TYLER STEFFEN ELLIS
OGDEN, UT
NPI
1609265453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-01-16
Last Update Date
2015-01-16
Business Address
-- TYLER STEFFEN ELLIS
2801 UNIVERSITY CIR
OGDEN, UT 84408-0001
Phone number: 801-626-6228
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Mailing Address
-- TYLER STEFFEN ELLIS
1446 36TH ST
OGDEN, UT 84403-2110
Phone number: 435-720-2849
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