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1720212251
GREGORY KENT BONOGOFSKY
SALT LAKE CITY, UT
NPI
1720212251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 10090)
Enumeration Date
2009-05-12
Last Update Date
2009-05-12
Business Address
-- GREGORY KENT BONOGOFSKY
1952 E 7000 S STE 100
SALT LAKE CITY, UT 84121-6878
Phone number: 801-942-3311
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Mailing Address
-- GREGORY KENT BONOGOFSKY
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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