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Individual

ANDREA MARIE PIGEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, ATC, CSCS, EMT-B

Contact information

Practice address
3870 STADIUM WAY, DEPT. 2701, OGDEN, UT 84408-5149
(801) 626-7128
Mailing address
3870 STADIUM WAY, DEPT. 2701, OGDEN, UT 84408-5149
(801) 626-7128

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
2013086013
UT
2255A2300X
Athletic Trainer
Primary
8344028-4810
UT

Other

Enumeration date
10/31/2016
Last updated
10/31/2016
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