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1811550718
MCKENNA BOOTHE
DRAPER, UT
NPI
1811550718
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 10416520-4810)
Enumeration Date
2019-04-16
Last Update Date
2019-06-11
Business Address
MCKENNA BOOTHE LAT, ATC
12943 S 700 E
DRAPER, UT 84020-6200
Phone number: 801-826-6400
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Mailing Address
MCKENNA BOOTHE LAT, ATC
1032 E OLD DAIRY RD
SANDY, UT 84094-7210
Phone number:
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