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1578731949
ALPINE SPINAL REHABILITATION CTR
PROVO, UT
NPI
1578731949
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Entity Type
Organization
Authorized Contact
JERRY CLARK
Owner/President
801-374-2774
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: UT 166844-1202)
Enumeration Date
2008-02-19
Last Update Date
2016-12-02
Business Address
ALPINE SPINAL REHABILITATION CTR
3325 N UNIVERSITY AVE STE 125
PROVO, UT 84604-6615
Phone number: 801-374-2774
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Mailing Address
ALPINE SPINAL REHABILITATION CTR
3325 N UNIVERSITY AVE STE 125
PROVO, UT 84604-6615
Phone number: 801-374-2774
Copy
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