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1710439096
CANDACE ANN MCKINNON
SALT LAKE CITY, UT
NPI
1710439096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: UT 10092267-2401)
Enumeration Date
2016-11-02
Last Update Date
2016-11-02
Business Address
-- CANDACE ANN MCKINNON DPT
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-1000
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Mailing Address
-- CANDACE ANN MCKINNON DPT
225 W 200 N
MIDWAY, UT 84049-6344
Phone number: 480-797-7244
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