ATLANTA BLACK

MURRAY, UT
NPI1992516892
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2025-01-20
Last Update Date2025-06-18
Business Address
ATLANTA BLACK
5926 S NORMANDY OAKS CIR
MURRAY, UT 84123-4918
Phone number: 435-419-0615
Mailing Address
ATLANTA BLACK
PO BOX 314
MONTICELLO, UT 84535-0314
Phone number:
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