CLINTON GEORGE EDVALSON

PROVO, UT
NPI1801930300
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT  6364162-4810)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NV  0506194)
Enumeration Date2007-02-16
Last Update Date2022-06-23
Business Address
Mr. CLINTON GEORGE EDVALSON MS, LAT, ATC
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-314-4051
Mailing Address
Mr. CLINTON GEORGE EDVALSON MS, LAT, ATC
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-314-4051
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