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1043435985
CONNIE SOUTH
SALT LAKE CITY, UT
NPI
1043435985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NV 2124)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
Miss CONNIE SOUTH
1952 FORT UNION BLVD STE 100
SALT LAKE CITY, UT 84121-6878
Phone number: 801-942-3311
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Mailing Address
Miss CONNIE SOUTH
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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