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1225525421
BRESHAE CHRISTOFFERSON
LOGAN, UT
NPI
1225525421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: UT 10195986-2402)
Enumeration Date
2018-04-13
Last Update Date
2018-04-13
Business Address
BRESHAE CHRISTOFFERSON
630 E 1400 N STE 140
LOGAN, UT 84341-2549
Phone number: 435-213-3850
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Mailing Address
BRESHAE CHRISTOFFERSON
1795 CANYON RIDGE DR
NORTH LOGAN, UT 84341-8314
Phone number:
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