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1912410259
MADISON STUMPF
OREM, UT
NPI
1912410259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 10457472-4810)
Enumeration Date
2017-11-08
Last Update Date
2017-11-08
Business Address
MADISON STUMPF ATC
800 W UNIVERSITY PKWY
OREM, UT 84058-6703
Phone number: 360-607-2775
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Mailing Address
MADISON STUMPF ATC
1963 S 1200 E APT 603
SALT LAKE CITY, UT 84105-3528
Phone number:
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