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1962817320
CRYSTAL DAVISSON
LOGAN, UT
NPI
1962817320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 8081794-4810)
Enumeration Date
2014-06-24
Last Update Date
2014-06-24
Business Address
-- CRYSTAL DAVISSON ATC
209 W 300 N
LOGAN, UT 84321-3809
Phone number: 435-716-8535
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Mailing Address
-- CRYSTAL DAVISSON ATC
1545 TALON DR
LOGAN, UT 84321-8268
Phone number: 435-760-7906
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