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1003303694
KYLE FAIRCHILD
SALT LAKE CITY, UT
NPI
1003303694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: UT 9379311-4201)
Enumeration Date
2018-04-18
Last Update Date
2018-04-18
Business Address
KYLE FAIRCHILD MS OTR/L
451 E BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115-2357
Phone number: 801-487-7557
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Mailing Address
KYLE FAIRCHILD MS OTR/L
877 W 3600 S
BOUNTIFUL, UT 84010-8423
Phone number: 208-670-1018
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