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Individual

RYAN WESLEY HUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, ATC

Contact information

Practice address
1303 N MAIN ST, CEDAR CITY, UT 84721-9746
(435) 868-5000
Mailing address
PO BOX 343, PAROWAN, UT 84761-0343
(435) 764-7021

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
7323830-4810
UT

Other

Enumeration date
11/12/2014
Last updated
11/12/2014
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