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1003894379
STEPHEN REESE SPENCER
SOUTH OGDEN, UT
NPI
1003894379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 106176-2401)
Enumeration Date
2006-01-05
Last Update Date
2010-08-13
Business Address
Mr. STEPHEN REESE SPENCER PT
5734 S 1475 E #300
SOUTH OGDEN, UT 84403-4596
Phone number: 801-475-7628
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Mailing Address
Mr. STEPHEN REESE SPENCER PT
P.O. BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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