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1225056591
JILLIAN SH CLARK
SALT LAKE CITY, UT
NPI
1225056591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 89-118894-2401)
Enumeration Date
2006-07-17
Last Update Date
2021-11-12
Business Address
Ms. JILLIAN SH CLARK PT
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2121
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Mailing Address
Ms. JILLIAN SH CLARK PT
PO BOX 510721
SALT LAKE CITY, UT 84151-0721
Phone number: 801-587-6872
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