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1487935268
ADAM ERESUMA
SALT LAKE CITY, UT
NPI
1487935268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 3384192401)
Enumeration Date
2011-09-07
Last Update Date
2011-09-07
Business Address
-- ADAM ERESUMA
8 TH AVE AND C ST
SALT LAKE CITY, UT 84143-0001
Phone number: 801-408-2072
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Mailing Address
-- ADAM ERESUMA
1553 KENSINGTON AVE
SALT LAKE CITY, UT 84105-2803
Phone number:
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