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Individual

MICHELLE HORNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1551 RENAISSANCE TOWNE DR, SUITE 420, BOUNTIFUL, UT 84010-7667
(801) 694-9791
Mailing address
309 E 100 S, APT 424, SALT LAKE CITY, UT 84111-1740

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
8716708-4810
UT

Other

Enumeration date
09/28/2013
Last updated
12/30/2013
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