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1730624511
JESSIE SMITH
PROVO, UT
NPI
1730624511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: UT 7384705-4810)
Enumeration Date
2017-01-03
Last Update Date
2017-02-06
Business Address
JESSIE SMITH ATC
1157 N 300 W STE 201
PROVO, UT 84604-6124
Phone number: 801-357-1200
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Mailing Address
JESSIE SMITH ATC
1157 N 300 W STE 201
PROVO, UT 84604-6124
Phone number: 801-357-1200
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