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Individual
BRENT A. MARSHALL
Active
Individual
BRENT A. MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CES
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
9042194-4810
UT
2255A2300X
Athletic Trainer
Primary
AT-AT-10165211
OR
Other
Enumeration date
10/02/2014
Last updated
04/17/2017
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