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1225430150
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- WEST, LLC
SALT LAKE CITY, UT
NPI
1225430150
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Entity Type
Organization
Authorized Contact
DAVID R DRAPER
Director
801-536-3827
Organization Subpart ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2014-09-23
Last Update Date
2015-07-23
Business Address
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- WEST, LLC
1275 E FAIRFAX RD
SALT LAKE CITY, UT 84103-4324
Phone number: 801-536-3820
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Mailing Address
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- WEST, LLC
PO BOX 865109
ORLANDO, FL 32886-5109
Phone number: 844-602-3960
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