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1649790114
CANDACE LEE SLATER
LOGAN, UT
NPI
1649790114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 8227009-2401)
Enumeration Date
2017-06-26
Last Update Date
2020-03-12
Business Address
CANDACE LEE SLATER DPT
1300 N 500 E
LOGAN, UT 84341-2408
Phone number: 435-760-3623
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Mailing Address
CANDACE LEE SLATER DPT
PO BOX 3337
LOGAN, UT 84323-3337
Phone number: 435-760-3623
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