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Individual

DANIEL PAUL CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
3580 S 3600 W, WEST VALLEY CITY, UT 84119-2645
(385) 646-5320
Mailing address
7430 N COTTAGE LN, EAGLE MOUNTAIN, UT 84005-4895
(435) 590-7015

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
9874945-4810
UT

Other

Enumeration date
10/08/2018
Last updated
10/08/2018
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