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1124652193
MALLORY VAN DE GRAFF
SALT LAKE CITY, UT
NPI
1124652193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2020-02-27
Last Update Date
2020-02-27
Business Address
MALLORY VAN DE GRAFF PTA
1952 E 7000 S
SALT LAKE CITY, UT 84121-6877
Phone number: 801-942-3311
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Mailing Address
MALLORY VAN DE GRAFF PTA
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number:
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