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1215633607
BRIANNA LASITA
SALT LAKE CITY, UT
NPI
1215633607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: UT 13161916-4201)
Enumeration Date
2023-02-07
Last Update Date
2023-02-07
Business Address
BRIANNA LASITA
1212 E WILMINGTON AVE
SALT LAKE CITY, UT 84106-2851
Phone number: 801-486-6000
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Mailing Address
BRIANNA LASITA
847 E EMERSON AVE
SALT LAKE CITY, UT 84105-2218
Phone number: 631-880-2272
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