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1225477029
SCOTT HICKENLOOPER
SALT LAKE CITY, UT
NPI
1225477029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 8674042-2401)
Enumeration Date
2013-06-14
Last Update Date
2013-06-14
Business Address
-- SCOTT HICKENLOOPER DPT
590 S WAKARA WAY
SALT LAKE CITY, UT 84108-1200
Phone number: 801-587-7005
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Mailing Address
-- SCOTT HICKENLOOPER DPT
590 S WAKARA WAY
SALT LAKE CITY, UT 84108-1200
Phone number:
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