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1558686428
MARK VINCENT LANGE
SLC, UT
NPI
1558686428
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2010-04-02
Last Update Date
2021-07-20
Business Address
Mr. MARK VINCENT LANGE MPT
FAIRFAX RD AT VIRGINIA ST
SLC, UT 84103
Phone number: 801-536-3616
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Mailing Address
Mr. MARK VINCENT LANGE MPT
FAIRFAX RD AT VIRGINIA ST
SLC, UT 84103
Phone number: 801-536-3616
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