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Individual

RYAN ALAN PALMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
763 S 1000 W, RICHFIELD, UT 84701-2939
(435) 896-5090
Mailing address
4499 N MULE TRAIN DR, ENOCH, UT 84720-9688

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
07/26/2007
Last updated
07/26/2007
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