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1891213385
FORREST SUTHERLAND
OGDEN, UT
NPI
1891213385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-09-05
Last Update Date
2017-09-05
Business Address
FORREST SUTHERLAND
1075 E 41ST ST.
OGDEN, UT 84403
Phone number: 435-962-0738
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Mailing Address
FORREST SUTHERLAND
1075 41ST ST
OGDEN, UT 84403-2405
Phone number:
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