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1184286619
TRENTON POULSON
CEDAR CITY, UT
NPI
1184286619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 11283689-2401)
Enumeration Date
2019-07-04
Last Update Date
2019-07-04
Business Address
TRENTON POULSON DPT
1303 N MAIN ST
CEDAR CITY, UT 84721-9746
Phone number: 435-868-5726
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Mailing Address
TRENTON POULSON DPT
1303 N MAIN ST
CEDAR CITY, UT 84721-9746
Phone number:
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