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Individual

MARIE PERKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA,LAT,ATC

Contact information

Practice address
280 N MAIN ST, BOUNTIFUL, UT 84010-6136
(801) 298-2495
Mailing address
788 W 2275 N, LAYTON, UT 84041-5306
(801) 644-8872

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6781500-4810
UT

Other

Enumeration date
12/18/2015
Last updated
12/18/2015
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