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1043325905
CHARLES SHELLY GRAYBILL
SALT LAKE CITY, UT
NPI
1043325905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 22-111002-2401)
Enumeration Date
2006-08-20
Last Update Date
2007-07-08
Business Address
Mr. CHARLES SHELLY GRAYBILL P.T.
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2121
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Mailing Address
Mr. CHARLES SHELLY GRAYBILL P.T.
PO BOX 510721
SALT LAKE CITY, UT 84151-0721
Phone number: 801-587-6872
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