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1982128997
BRADY M SMITH
PROVO, UT
NPI
1982128997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 9749511-4810)
Enumeration Date
2017-08-01
Last Update Date
2017-08-01
Business Address
BRADY M SMITH
BRIGHAM YOUNG UNIVERSITY 123 SAB
PROVO, UT 84602
Phone number: 801-422-1549
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Mailing Address
BRADY M SMITH
BRIGHAM YOUNG UNIVERSITY 123 SAB
PROVO, UT 84602
Phone number: 801-422-1549
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