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1093215568
JESSIE BALICKI
BOUNTIFUL, UT
NPI
1093215568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 9251212-2401)
Enumeration Date
2018-02-20
Last Update Date
2018-02-20
Business Address
JESSIE BALICKI
523 N MAIN ST
BOUNTIFUL, UT 84010-6036
Phone number: 801-951-2273
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Mailing Address
JESSIE BALICKI
206 N 2100 W
SALT LAKE CITY, UT 84116-4740
Phone number: 801-456-8409
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