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1457533853
MARK ANTHONY BLANKENSHIP
SALT LAKE CITY, UT
NPI
1457533853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 9186)
Enumeration Date
2007-11-28
Last Update Date
2007-11-28
Business Address
-- MARK ANTHONY BLANKENSHIP
1952 E 7000 S STE 100
SALT LAKE CITY, UT 84121-6878
Phone number: 801-942-3311
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Mailing Address
-- MARK ANTHONY BLANKENSHIP
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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