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1245611987
EZEKIAL CRUZ MENDENHALL
LEHI, UT
NPI
1245611987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 9253802-2401)
Enumeration Date
2015-06-17
Last Update Date
2019-01-14
Business Address
EZEKIAL CRUZ MENDENHALL DPT
680 E MAIN ST STE 101
LEHI, UT 84043-2251
Phone number: 801-768-2723
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Mailing Address
EZEKIAL CRUZ MENDENHALL DPT
901 ADAMS ST
AFTON, WY 83110-9621
Phone number: 307-885-5811
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