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1659019222
DEREK BUCKNER
SALT LAKE CITY, UT
NPI
1659019222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 126968152401)
Enumeration Date
2022-05-24
Last Update Date
2022-05-24
Business Address
DEREK BUCKNER PT
E EIGHTH AVE & C ST
SALT LAKE CITY, UT 84143-0001
Phone number: 801-408-1100
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Mailing Address
DEREK BUCKNER PT
5341 JULIE ANN PL
HIGHLAND, UT 84003-3624
Phone number:
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