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1316483753
LANCE DAVID WILLINGHAM
MURRAY, UT
NPI
1316483753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 121641-2401)
Enumeration Date
2017-01-09
Last Update Date
2017-01-09
Business Address
-- LANCE DAVID WILLINGHAM PT
5770 S 250 E STE G50
MURRAY, UT 84107-6165
Phone number: 801-314-5002
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Mailing Address
-- LANCE DAVID WILLINGHAM PT
5770 S 250 E STE G50
MURRAY, UT 84107-6165
Phone number: 801-314-5002
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