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1538652763
TASIA NICOLE ANDERSON
CLEARFIELD, UT
NPI
1538652763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: UT 10392769-2402)
Enumeration Date
2018-06-12
Last Update Date
2018-06-12
Business Address
TASIA NICOLE ANDERSON
132 E 2600 S
CLEARFIELD, UT 84015-1951
Phone number: 208-220-5670
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Mailing Address
TASIA NICOLE ANDERSON
132 E 2600 S
CLEARFIELD, UT 84015-1951
Phone number: 208-220-5670
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