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1861899270
MATTHEW BERG
SALT LAKE CITY, UT
NPI
1861899270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 9809678-4810)
Enumeration Date
2014-12-01
Last Update Date
2016-12-13
Business Address
-- MATTHEW BERG MS, LAT, ATC
1988 S 1100 E UNIT 506
SALT LAKE CITY, UT 84106-4723
Phone number: 715-587-5531
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Mailing Address
-- MATTHEW BERG MS, LAT, ATC
1988 S 1100 E UNIT 506
SALT LAKE CITY, UT 84106-4723
Phone number:
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