Individual
LEAH DUNAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7425 OLD MAIN HL, LOGAN, UT 84322-7425
(435) 797-3636
Mailing address
7425 OLD MAIN HL, LOGAN, UT 84322-7425
(435) 797-3636
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10122851-4810
UT
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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