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1356087811
MARISA CHRISTINE PUGH
SOUTH SALT LAKE, UT
NPI
1356087811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: UT 10631644-2402)
Enumeration Date
2022-05-09
Last Update Date
2022-05-24
Business Address
MARISA CHRISTINE PUGH PTA
2500 S STATE ST
SOUTH SALT LAKE, UT 84115-3164
Phone number: 385-646-5000
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Mailing Address
MARISA CHRISTINE PUGH PTA
4420 S NIELSEN WAY
WEST VALLEY CITY, UT 84119-5727
Phone number: 801-815-5179
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