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1407401425
MIRJAM RAVNENG
SALT LAKE CITY, UT
NPI
1407401425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: UT 11027277-2401)
Enumeration Date
2019-08-06
Last Update Date
2019-08-06
Business Address
DR. MIRJAM RAVNENG DPT
575 E 4500 S
SALT LAKE CITY, UT 84107-2973
Phone number: 801-266-3939
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Mailing Address
DR. MIRJAM RAVNENG DPT
1110 E 200 S APT 1
SALT LAKE CITY, UT 84102-2596
Phone number:
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