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1710352778
DANVIRG BRETON
OGDEN, UT
NPI
1710352778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 10374629-4810)
Enumeration Date
2015-12-02
Last Update Date
2017-06-26
Business Address
-- DANVIRG BRETON
1435 VILLAGE DR DEPT. 2805
OGDEN, UT 84408-5150
Phone number: 801-626-7656
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Mailing Address
-- DANVIRG BRETON
856 E 5500 S
SOUTH OGDEN, UT 84403
Phone number:
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