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1164030110
CHARLOTTE RUTHERFURD
SLC, UT
NPI
1164030110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: UT 116485952401)
Enumeration Date
2020-07-16
Last Update Date
2020-07-16
Business Address
CHARLOTTE RUTHERFURD
1050 E SOUTH TEMPLE
SLC, UT 84102-1507
Phone number: 617-671-8924
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Mailing Address
CHARLOTTE RUTHERFURD
29 GOMEZ RD
HOBE SOUND, FL 33455-2213
Phone number: 617-671-8924
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