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1871659284
BRAD LESTER NELSON
LOGAN, UT
NPI
1871659284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 2378103-4810)
Enumeration Date
2006-12-29
Last Update Date
2007-07-08
Business Address
-- BRAD LESTER NELSON ATC-L
162 W 100 S LOGAN HIGH SCHOOL
LOGAN, UT 84321-5229
Phone number: 435-755-2380
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Mailing Address
-- BRAD LESTER NELSON ATC-L
4865 HOLLOW RD
LOGAN, UT 84321-7966
Phone number: 435-245-0478
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