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1588990410
KELLI GOODSON
SALT LAKE CITY, UT
NPI
1588990410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 8704)
Enumeration Date
2009-10-28
Last Update Date
2009-10-28
Business Address
-- KELLI GOODSON
1952 E 7000 S STE 100
SALT LAKE CITY, UT 84121-6878
Phone number: 801-942-3311
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Mailing Address
-- KELLI GOODSON
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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