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1013590785
SAMUEL RUSH OSIMITZ
SALT LAKE CITY, UT
NPI
1013590785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 10705102-1206)
Enumeration Date
2021-04-30
Last Update Date
2023-05-02
Business Address
SAMUEL RUSH OSIMITZ
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1260
Phone number: 801-581-7766
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Mailing Address
SAMUEL RUSH OSIMITZ
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1260
Phone number: 801-581-7766
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