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1821530536
IAN CROSSETT
SALT LAKE CITY, UT
NPI
1821530536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 8747497-4810)
Enumeration Date
2016-11-11
Last Update Date
2016-11-11
Business Address
Mr. IAN CROSSETT ATC
590 S WAKARA WAY
SALT LAKE CITY, UT 84108-1200
Phone number: 801-587-7158
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Mailing Address
Mr. IAN CROSSETT ATC
590 S WAKARA WAY
SALT LAKE CITY, UT 84108-1200
Phone number: 801-587-7158
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