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1063912525
BART HAMATAKE
BOUNTIFUL, UT
NPI
1063912525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: UT 5017933-4202)
Enumeration Date
2018-02-20
Last Update Date
2018-02-20
Business Address
BART HAMATAKE
523 N MAIN ST
BOUNTIFUL, UT 84010-6036
Phone number: 801-951-2273
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Mailing Address
BART HAMATAKE
206 N 2100 W
SALT LAKE CITY, UT 84116-4740
Phone number:
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