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Individual

DAVID QUAMMEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSED, ATC, CSCS

Contact information

Practice address
1 VICTORY LN # 100, PARK CITY, UT 84060-7463
(435) 602-2672
Mailing address
PO BOX 980356, PARK CITY, UT 84098-0356
(435) 602-2672

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
8767305-4810
UT

Other

Enumeration date
09/09/2016
Last updated
09/09/2016
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