KRISTA MICHELLE PRUSAK

SPANISH FORK, UT
NPI1699186726
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT  7479128-4810)
Enumeration Date2014-05-12
Last Update Date2014-05-12
Business Address
-- KRISTA MICHELLE PRUSAK ATC
3026 E 1610 S
SPANISH FORK, UT 84660-8921
Phone number: 801-310-9987
Mailing Address
-- KRISTA MICHELLE PRUSAK ATC
3026 E 1610 S
SPANISH FORK, UT 84660-8921
Phone number: 801-310-9987
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