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1417186198
JEFFREY HANTLA
SALT LAKE CITY, UT
NPI
1417186198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 0957PT)
Enumeration Date
2009-07-02
Last Update Date
2009-07-02
Business Address
-- JEFFREY HANTLA
1952 E 7000 S STE 100
SALT LAKE CITY, UT 84121-6878
Phone number: 801-942-3311
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Mailing Address
-- JEFFREY HANTLA
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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