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1700450491
COLTON SAMUELSEN
SALT LAKE CITY, UT
NPI
1700450491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 12273912-8016)
Enumeration Date
2021-05-17
Last Update Date
2021-05-17
Business Address
COLTON SAMUELSEN DPT
4624 S HOLLADAY BLVD STE 2
SALT LAKE CITY, UT 84117-7169
Phone number: 801-277-1028
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Mailing Address
COLTON SAMUELSEN DPT
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number:
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