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1043506330
JASON MICHAEL LEE
MIDVALE, UT
NPI
1043506330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 341753-2401)
Enumeration Date
2011-06-24
Last Update Date
2011-06-24
Business Address
-- JASON MICHAEL LEE
8142 S STATE ST ATE 103
MIDVALE, UT 84047-3210
Phone number: 801-708-9226
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Mailing Address
-- JASON MICHAEL LEE
7529 STONE RD
SALT LAKE CITY, UT 84121-5237
Phone number: 801-943-8513
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