SPENCER G MACK

OREM, UT
NPI1992076384
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT  475641-4810)
Enumeration Date2012-01-18
Last Update Date2012-01-18
Business Address
-- SPENCER G MACK MS, ATC
800 W UNIVERSITY PKWY
OREM, UT 84058-6703
Phone number: 801-863-6784
Mailing Address
-- SPENCER G MACK MS, ATC
935 E 80 S
OREM, UT 84097-5774
Phone number:
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