LARRY C WISEMAN

RIVERTON, UT
NPI1821018052
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2006-07-20
Last Update Date2007-07-08
Business Address
-- LARRY C WISEMAN A.T.,C.
1738 W 12600 S
RIVERTON, UT 84065-7025
Phone number: 801-243-7346
Mailing Address
-- LARRY C WISEMAN A.T.,C.
1738 W 12600 S
RIVERTON, UT 84065-7025
Phone number: 801-243-7346
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