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1558000943
DYLAN JAMES MCILLECE
SALT LAKE CITY, UT
NPI
1558000943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 12837723-2401)
Enumeration Date
2022-06-02
Last Update Date
2022-06-02
Business Address
DYLAN JAMES MCILLECE DPT
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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Mailing Address
DYLAN JAMES MCILLECE DPT
1172 E KENSINGTON AVE
SALT LAKE CITY, UT 84105-2536
Phone number:
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