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1740760834
TYSON L HERRICK
OREM, UT
NPI
1740760834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 10861853-2401)
Enumeration Date
2018-08-17
Last Update Date
2018-08-17
Business Address
TYSON L HERRICK PT
1275 S 800 E
OREM, UT 84097-7232
Phone number: 801-224-7667
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Mailing Address
TYSON L HERRICK PT
636 E STATE RD
AMERICAN FORK, UT 84003-2151
Phone number: 801-492-6577
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