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1356576185
SARA ELIZABETH WALLACE
SALT LAKE CITY, UT
NPI
1356576185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 7321736-2401)
Enumeration Date
2009-05-22
Last Update Date
2009-05-22
Business Address
-- SARA ELIZABETH WALLACE DPT
1685 W 2200 S
SALT LAKE CITY, UT 84119-1456
Phone number: 801-887-5455
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Mailing Address
-- SARA ELIZABETH WALLACE DPT
930 N 1300 W
SALT LAKE CITY, UT 84116-3880
Phone number: 801-721-9228
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