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1831720846
MORGAN BREEANNA BENGTZEN
BOISE, ID
NPI
1831720846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-01-29
Last Update Date
2024-01-08
Business Address
MORGAN BREEANNA BENGTZEN ATC, LAT, MAL
701 E BOISE AVE
BOISE, ID 83706-5119
Phone number: 801-702-7713
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Mailing Address
MORGAN BREEANNA BENGTZEN ATC, LAT, MAL
2624 W LUSTERPOINTE LN
WEST JORDAN, UT 84088-5281
Phone number: 801-702-7713
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