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1528036878
KORRYN WIESE
SOUTH OGDEN, UT
NPI
1528036878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 117905-2401)
Enumeration Date
2006-03-11
Last Update Date
2007-08-19
Business Address
-- KORRYN WIESE P.T., C.M.P.T.
5856 HARRISON BLVD SUITE A
SOUTH OGDEN, UT 84403-4397
Phone number: 801-475-6415
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Mailing Address
-- KORRYN WIESE P.T., C.M.P.T.
5856 HARRISON BLVD SUITE A
SOUTH OGDEN, UT 84403-4397
Phone number: 801-475-6415
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