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1104123363
LOUPEL SUPERFICIAL ANTIQUIERA
SALT LAKE CITY, UT
NPI
1104123363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60024755)
Enumeration Date
2011-02-23
Last Update Date
2011-02-23
Business Address
-- LOUPEL SUPERFICIAL ANTIQUIERA
1952 E 7000 S STE 100
SALT LAKE CITY, UT 84121-6878
Phone number: 801-942-3311
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Mailing Address
-- LOUPEL SUPERFICIAL ANTIQUIERA
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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