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1245745629
RYAN MICHAEL BRUBAKER
SALT LAKE CITY, UT
NPI
1245745629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: UT 9421945-2402)
Enumeration Date
2017-12-07
Last Update Date
2017-12-07
Business Address
RYAN MICHAEL BRUBAKER
1952 E FORT UNION BLVD
SALT LAKE CITY, UT 84121-6877
Phone number: 801-942-3311
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Mailing Address
RYAN MICHAEL BRUBAKER
5 W 1060 N
HURRICANE, UT 84737-1913
Phone number: 435-218-6726
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