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1083739031
MARK STOUT MCOMBER
OREM, UT
NPI
1083739031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 119128-2401)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
-- MARK STOUT MCOMBER P.T.
331 N 400 W
OREM, UT 84057-1913
Phone number: 801-224-4080
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Mailing Address
-- MARK STOUT MCOMBER P.T.
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number:
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