MARK B NILSSON

PROVO, UT
NPI1306850516
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  1101292401)
Enumeration Date2006-07-27
Last Update Date2007-07-08
Business Address
MR. MARK B NILSSON PT
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-373-7850
Mailing Address
MR. MARK B NILSSON PT
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number: 801-357-7475
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