MARK VINCENT LANGE

SLC, UT
NPI1558686428
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2010-04-02
Last Update Date2021-07-20
Business Address
MR. MARK VINCENT LANGE MPT
FAIRFAX RD AT VIRGINIA ST
SLC, UT 84103
Phone number: 801-536-3616
Mailing Address
MR. MARK VINCENT LANGE MPT
FAIRFAX RD AT VIRGINIA ST
SLC, UT 84103
Phone number: 801-536-3616
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