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1609278332
BRYCE LEISHMAN
OGDEN, UT
NPI
1609278332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2014-09-25
Last Update Date
2015-06-01
Business Address
-- BRYCE LEISHMAN
3848 HARRISON BLVD
OGDEN, UT 84408-0001
Phone number: 801-626-6000
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Mailing Address
-- BRYCE LEISHMAN
1435 VILLAGE DR DEPT 2801
OGDEN, UT 84408-2801
Phone number: 801-626-6000
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