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1962952911
JESSIE SMITH
SALT LAKE CITY, UT
NPI
1962952911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 10070161-4810)
Enumeration Date
2016-10-13
Last Update Date
2016-10-13
Business Address
-- JESSIE SMITH ATC
810 S GREEN ST
SALT LAKE CITY, UT 84102-3512
Phone number: 801-608-3872
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Mailing Address
-- JESSIE SMITH ATC
810 S GREEN ST
SALT LAKE CITY, UT 84102-3512
Phone number: 801-608-3872
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