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1659963528
RUSSELL WILLIAM COMSTOCK
LAYTON, UT
NPI
1659963528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: UT 7830105-2402)
Enumeration Date
2021-02-10
Last Update Date
2021-02-10
Business Address
RUSSELL WILLIAM COMSTOCK PTA
1205 N FAIRFIELD RD
LAYTON, UT 84041-8300
Phone number: 619-871-7825
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Mailing Address
RUSSELL WILLIAM COMSTOCK PTA
1238 E 250 N
LAYTON, UT 84040-6709
Phone number: 801-807-0113
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