MILLARD E BULANON

SALT LAKE CITY, UT
NPI1700999752
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  5036756-2401)
Enumeration Date2006-08-16
Last Update Date2021-12-06
Business Address
Mr. MILLARD E BULANON P.T.
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2121
Mailing Address
Mr. MILLARD E BULANON P.T.
PO BOX 510721
SALT LAKE CITY, UT 84151-0721
Phone number: 801-587-6872
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