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1326420639
BRIAN RALPH BALLS
LOGAN, UT
NPI
1326420639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: UT 4872485-2402)
Enumeration Date
2015-06-23
Last Update Date
2015-06-23
Business Address
-- BRIAN RALPH BALLS PTA
1350 N 500 E SUITE 120
LOGAN, UT 84341-2400
Phone number: 435-716-2880
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Mailing Address
-- BRIAN RALPH BALLS PTA
1350 N 500 E SUITE 120
LOGAN, UT 84341-2400
Phone number: 435-716-2880
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