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1033341847
LACEE BUKOSKEY
SALT LAKE CITY, UT
NPI
1033341847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NV 09-7132)
Enumeration Date
2009-08-12
Last Update Date
2009-08-12
Business Address
-- LACEE BUKOSKEY OT
1952 E 7000 S
SALT LAKE CITY, UT 84121-6877
Phone number: 801-495-5307
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Mailing Address
-- LACEE BUKOSKEY OT
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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