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1588824445
LARISSA RAE SWENSEN
TAYLORSVILLE, UT
NPI
1588824445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2008-06-13
Last Update Date
2008-06-13
Business Address
MISS LARISSA RAE SWENSEN PTA
2377 SHARRON DR
TAYLORSVILLE, UT 84118-2080
Phone number: 801-631-2017
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Mailing Address
MISS LARISSA RAE SWENSEN PTA
2377 SHARRON DR
TAYLORSVILLE, UT 84118-2080
Phone number: 801-631-2017
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