DANVIRG BRETON

OGDEN, UT
NPI1710352778
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT  10374629-4810)
Enumeration Date2015-12-02
Last Update Date2017-06-26
Business Address
-- DANVIRG BRETON
1435 VILLAGE DR DEPT. 2805
OGDEN, UT 84408-5150
Phone number: 801-626-7656
Mailing Address
-- DANVIRG BRETON
856 E 5500 S
SOUTH OGDEN, UT 84403
Phone number:
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