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1134372808
TATUM WILSON
SALT LAKE CITY, UT
NPI
1134372808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NV 0895)
Enumeration Date
2008-10-28
Last Update Date
2008-10-28
Business Address
-- TATUM WILSON
1952 E 7000 S
SALT LAKE CITY, UT 84121-6877
Phone number: 801-942-3311
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Mailing Address
-- TATUM WILSON
PO BOX 71185
SALT LAKE CITY, UT 84171
Phone number: 801-942-3311
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