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1528480928
ALYSE KOLSTAD
SALT LAKE CITY, UT
NPI
1528480928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WA OT60340484)
Enumeration Date
2014-01-20
Last Update Date
2014-01-20
Business Address
-- ALYSE KOLSTAD
1952 E 7000 S
SALT LAKE CITY, UT 84121-6877
Phone number: 801-942-3311
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Mailing Address
-- ALYSE KOLSTAD
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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