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1568769263
ELISE PEDERSON
SALT LAKE CITY, UT
NPI
1568769263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 7850773-2401)
Enumeration Date
2011-02-16
Last Update Date
2011-02-16
Business Address
-- ELISE PEDERSON
1952 E 7000 S
SALT LAKE CITY, UT 84121-6877
Phone number: 801-942-3311
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Mailing Address
-- ELISE PEDERSON
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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