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1639488828
CLARA A. DUDACK
SALT LAKE CITY, UT
NPI
1639488828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: UT 289554-2402)
Enumeration Date
2010-10-05
Last Update Date
2010-10-05
Business Address
Mrs. CLARA A. DUDACK PTA
6669 OVERLOOK RIM RD
SALT LAKE CITY, UT 84123-5590
Phone number: 801-580-6611
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Mailing Address
Mrs. CLARA A. DUDACK PTA
6669 OVERLOOK RIM RD
SALT LAKE CITY, UT 84123-5590
Phone number: 801-580-6611
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