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1063895639
CHARLESTON PEREZ
SALT LAKE CITY, UT
NPI
1063895639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WA OT60522847)
Enumeration Date
2015-07-01
Last Update Date
2015-07-01
Business Address
-- CHARLESTON PEREZ
1952 E 7000 S
SALT LAKE CITY, UT 84121-6877
Phone number: 801-942-3311
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Mailing Address
-- CHARLESTON PEREZ
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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