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Individual

JESSICA ANNE BURNINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
2352 E HIGHWAY 193, LAYTON, UT 84040-7124
(801) 628-4481
Mailing address
2896 N 2225 E, LAYTON, UT 84040-7136

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
07/15/2021
Last updated
07/15/2021
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