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1154745149
DEVIN BLACK
SALT LAKE CITY, UT
NPI
1154745149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60280462)
Enumeration Date
2014-02-11
Last Update Date
2014-02-11
Business Address
-- DEVIN BLACK
1952 E 7000 S
SALT LAKE CITY, UT 84121-6877
Phone number: 801-942-3311
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Mailing Address
-- DEVIN BLACK
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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