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1609381490
COLBY WAYNE THOMPSON
HERRIMAN, UT
NPI
1609381490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 12565346-4810)
Enumeration Date
2017-12-03
Last Update Date
2023-05-11
Business Address
COLBY WAYNE THOMPSON
14787 S ACADEMY PKWY
HERRIMAN, UT 84096-2077
Phone number: 801-935-4045
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Mailing Address
COLBY WAYNE THOMPSON
3283 W JORDAN LINE PKWY APT 223
WEST JORDAN, UT 84088-7965
Phone number: 719-469-1577
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