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1568483238
JAMES C NACKOS
PROVO, UT
NPI
1568483238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 5133156-2401)
Enumeration Date
2006-07-21
Last Update Date
2007-07-08
Business Address
-- JAMES C NACKOS MPT
3089 N CANYON RD
PROVO, UT 84604-3920
Phone number: 801-375-6500
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Mailing Address
-- JAMES C NACKOS MPT
PO BOX 307
BOUNTIFUL, UT 84011-0307
Phone number: 888-700-6907
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