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1619388014
PHILIP MICHAEL BOOZER
LOGAN, UT
NPI
1619388014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2014-05-19
Last Update Date
2014-05-19
Business Address
Mr. PHILIP MICHAEL BOOZER ATC, CPT, CES
7425 OLD MAIN HL
LOGAN, UT 84322-7425
Phone number: 435-797-8291
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Mailing Address
Mr. PHILIP MICHAEL BOOZER ATC, CPT, CES
7425 OLD MAIN HL
LOGAN, UT 84322-7425
Phone number: 435-797-8291
Copy
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