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1154858942
CARISSA MORA-RODRIGUEZ
SALT LAKE CITY, UT
NPI
1154858942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
Enumeration Date
2017-05-11
Last Update Date
2017-05-11
Business Address
-- CARISSA MORA-RODRIGUEZ
415 E WOODLAKE LN APT 152
SALT LAKE CITY, UT 84107-1653
Phone number: 801-556-8064
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Mailing Address
-- CARISSA MORA-RODRIGUEZ
415 E WOODLAKE LN APT 152
SALT LAKE CITY, UT 84107-1653
Phone number: 801-556-8064
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