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1336624535
ROBERT G BLACK
OGDEN, UT
NPI
1336624535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 343568-2401)
Enumeration Date
2018-10-03
Last Update Date
2018-10-03
Business Address
ROBERT G BLACK
3550 HARRISON BLVD STE D
OGDEN, UT 84403-2081
Phone number: 801-476-4141
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Mailing Address
ROBERT G BLACK
3550 HARRISON BLVD STE D
OGDEN, UT 84403-2081
Phone number: 801-476-4141
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