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1457472078
DANIEL R BROUGH
SALT LAKE CITY, UT
NPI
1457472078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 349241-2401)
Enumeration Date
2007-04-02
Last Update Date
2007-07-08
Business Address
-- DANIEL R BROUGH
1952 FORT UNION BLVD STE 100
SALT LAKE CITY, UT 84121-6878
Phone number: 801-942-3311
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Mailing Address
-- DANIEL R BROUGH
1952 FORT UNION BLVD STE 100
SALT LAKE CITY, UT 84121-6878
Phone number: 801-942-3311
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