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1386176071
EVAN BURGESS
SALT LAKE CITY, UT
NPI
1386176071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: UT 10197781-2401)
Enumeration Date
2017-03-31
Last Update Date
2017-03-31
Business Address
-- EVAN BURGESS DPT
1685 W 2200 S
SALT LAKE CITY, UT 84119-1456
Phone number: 801-887-5455
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Mailing Address
-- EVAN BURGESS DPT
33 LOST CREEK LN 403
MURRAY, UT 84107-7964
Phone number: 248-225-3729
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