Individual
MERCEDES EALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3848 HARRISON BLVD, OGDEN, UT 84408-0001
(307) 713-1420
Mailing address
PO BOX 471, THAYNE, WY 83127-0471
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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