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1154923464
MARK FRASCO
WEST VALLEY CITY, UT
NPI
1154923464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 11405580-2401)
Enumeration Date
2020-11-11
Last Update Date
2020-11-11
Business Address
MARK FRASCO
4785 W 4100 S
WEST VALLEY CITY, UT 84120-4959
Phone number: 801-955-0500
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Mailing Address
MARK FRASCO
4785 W 4100 S
WEST VALLEY CITY, UT 84120-4959
Phone number: 801-955-0500
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