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1558377309
GRANT LOGAN BLATTER
ST GEORGE, UT
NPI
1558377309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 281544-2401)
Enumeration Date
2006-08-01
Last Update Date
2023-11-27
Business Address
Mr. GRANT LOGAN BLATTER MPT
1424 E FOREMASTER DR STE 120
ST GEORGE, UT 84790-5844
Phone number: 435-656-8800
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Mailing Address
Mr. GRANT LOGAN BLATTER MPT
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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