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1326544834
JARED LEUNG-WO
PROVO, UT
NPI
1326544834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: UT 9047495-2402)
Enumeration Date
2018-04-03
Last Update Date
2018-04-03
Business Address
JARED LEUNG-WO
1532 N 1930 W
PROVO, UT 84604-2247
Phone number: 801-319-6738
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Mailing Address
JARED LEUNG-WO
1532 N 1930 W
PROVO, UT 84604-2247
Phone number: 801-319-6738
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