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1568429967
JAN BLACK
SANDY, UT
NPI
1568429967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251N0400X Physical Therapist, Neurology
(Licence: UT 120890-2401)
Enumeration Date
2006-04-28
Last Update Date
2020-04-13
Business Address
JAN BLACK MS, PT
90 ALBION VILLAGE WAY
SANDY, UT 84070-4013
Phone number: 801-619-3670
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Mailing Address
JAN BLACK MS, PT
90 ALBION VILLAGE WAY
SANDY, UT 84070-4013
Phone number: 801-619-3670
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