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1003337585
MARK POWELL
SALT LAKE CITY, UT
NPI
1003337585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: UT 10279444-4201)
Enumeration Date
2017-07-05
Last Update Date
2017-07-05
Business Address
MARK POWELL
1200 E 3900 S
SALT LAKE CITY, UT 84124-1300
Phone number: 801-268-7111
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Mailing Address
MARK POWELL
1312 E 3730 S
SALT LAKE CITY, UT 84106-2937
Phone number: 801-604-8747
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