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Individual

BRANDON JAY HALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
1303 N MAIN ST # 3C, CEDAR CITY, UT 84721-9746
(435) 668-5500
Mailing address
123 S STATE ST, SALINA, UT 84654-1346
(435) 633-0617

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
11883307-4810
UT

Other

Enumeration date
04/01/2022
Last updated
04/01/2022
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