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1790752590
BRIAN LYDELL COLES
OAK CITY, UT
NPI
1790752590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: UT 2306941-4810)
Enumeration Date
2006-03-01
Last Update Date
2016-04-27
Business Address
MR. BRIAN LYDELL COLES ATC
850 BRUSHWELLMAN RD
OAK CITY, UT 84624
Phone number: 435-864-6511
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Mailing Address
MR. BRIAN LYDELL COLES ATC
850 BRUSHWELLMAN RD
OAK CITY, UT 84624
Phone number: 435-864-6511
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