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1366074049
LON FORSYTH
SALT LAKE CITY, UT
NPI
1366074049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: UT 11511332-4201)
Enumeration Date
2020-02-10
Last Update Date
2023-01-08
Business Address
LON FORSYTH OT
1050 E SOUTH TEMPLE
SALT LAKE CITY, UT 84102-1507
Phone number: 801-350-4113
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Mailing Address
LON FORSYTH OT
1050 E SOUTH TEMPLE
SALT LAKE CITY, UT 84102-1507
Phone number: 801-350-4113
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