Individual
KORLYN GULBRANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
123 SAB APT 4, PROVO, UT 84602-1547
(801) 935-0048
Mailing address
284 N 200 E APT 4, PROVO, UT 84606-2939
(801) 935-0048
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10933369-4810
UT
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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