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1790150662
STEPHANIE GOTH
OGDEN, UT
NPI
1790150662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-12-03
Last Update Date
2015-12-03
Business Address
-- STEPHANIE GOTH
1435 VILLAGE DR DEPT 2805
OGDEN, UT 84408-5150
Phone number: 810-626-7656
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Mailing Address
-- STEPHANIE GOTH
1435 VILLAGE DR DEPT 2805
OGDEN, UT 84408-5150
Phone number:
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