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1871245530
JONAH DIAZ
OGDEN, UT
NPI
1871245530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 22)
Enumeration Date
2022-01-24
Last Update Date
2022-01-24
Business Address
JONAH DIAZ
3992 CENTRAL CAMPUS DRIVE DEPT 3504
OGDEN, UT 84408-3504
Phone number: 801-626-7656
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Mailing Address
JONAH DIAZ
3992 CENTRAL CAMPUS DRIVE DEPT 3504
OGDEN, UT 84408-3504
Phone number: 801-626-7656
Copy
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