Individual
MRS. JESSICA SELU MURDOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
286 E 950 S, PAYSON, UT 84651-3314
(801) 380-2191
Mailing address
286 E 950 S, PAYSON, UT 84651-3314
(801) 380-2191
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
7562205-4810
UT
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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