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1083467179
DAVID BLAKE
SALT LAKE CITY, UT
NPI
1083467179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2024-04-08
Last Update Date
2024-04-08
Business Address
DAVID BLAKE
2295 S FOOTHILL DR STE 1
SALT LAKE CITY, UT 84109-4006
Phone number: 801-486-7542
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Mailing Address
DAVID BLAKE
5740 W BARN RD APT 2401
HERRIMAN, UT 84096-5112
Phone number: 801-915-7248
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