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1639581747
JESSICA SUSAN WAGSTAFF
OGDEN, UT
NPI
1639581747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2014-05-22
Last Update Date
2015-06-01
Business Address
-- JESSICA SUSAN WAGSTAFF LAT, ATC
1435 VILLAGE DR DEPT. 2801
OGDEN, UT 84408-2801
Phone number: 801-626-6000
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Mailing Address
-- JESSICA SUSAN WAGSTAFF LAT, ATC
1435 VILLAGE DR DEPT. 2801
OGDEN, UT 84408-2801
Phone number:
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