MCKENLEY BOAM

PROVO, UT
NPI1629865639
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT  425914)
Enumeration Date2025-04-22
Last Update Date2025-04-22
Business Address
MCKENLEY BOAM ATC
1227 RIVERSIDE AVE APT 60
PROVO, UT 84604-3288
Phone number: 713-330-9308
Mailing Address
MCKENLEY BOAM ATC
1227 RIVERSIDE AVE APT 60
PROVO, UT 84604-3288
Phone number: 713-330-9308
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