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1063561009
TRENT J. BURRUP
WEST JORDAN, UT
NPI
1063561009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: UT 267200-1202)
Enumeration Date
2007-01-09
Last Update Date
2007-07-09
Business Address
-- TRENT J. BURRUP D.C.
1847 W 9000 S STE 105
WEST JORDAN, UT 84088-8605
Phone number: 801-567-0557
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Mailing Address
-- TRENT J. BURRUP D.C.
14043 FRIENDSHIP DR
HERRIMAN, UT 84065-1787
Phone number: 801-446-6981
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