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Individual

MARIAH ANNE DAWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
173 RB, PROVO, UT 84602-2000
(801) 422-1628
Mailing address
1213 S 1340 E, SPANISH FORK, UT 84660-5960
(801) 372-3522

Taxonomy

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

Other

Enumeration date
09/11/2021
Last updated
09/11/2021
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