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1740605013
MASON SMITH
SANDY, UT
NPI
1740605013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 8774114-4810)
Enumeration Date
2014-02-24
Last Update Date
2014-02-24
Business Address
Mr. MASON SMITH ATC
1928 E HICKORY POINT CIR
SANDY, UT 84092-3942
Phone number: 715-252-1661
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Mailing Address
Mr. MASON SMITH ATC
1928 E HICKORY POINT CIR
SANDY, UT 84092-3942
Phone number: 715-252-1661
Copy
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