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1063544260
MARIE DUFRESNE BAMBO
SALT LAKE CITY, UT
NPI
1063544260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 117517-2401)
Enumeration Date
2007-03-12
Last Update Date
2007-07-08
Business Address
-- MARIE DUFRESNE BAMBO PT
1685 W 2200 S
SALT LAKE CITY, UT 84119-1456
Phone number: 801-887-5455
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Mailing Address
-- MARIE DUFRESNE BAMBO PT
893 13TH AVE
SALT LAKE CITY, UT 84103-3328
Phone number: 801-596-8631
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