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1740783091
GARY WAYNE FOSS
MILLCREEK, UT
NPI
1740783091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: UT 5029464-4701)
Enumeration Date
2018-03-13
Last Update Date
2018-03-17
Business Address
GARY WAYNE FOSS Lmt
1153 E 3900 S
MILLCREEK, UT 84124-1201
Phone number: 801-262-6331
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Mailing Address
GARY WAYNE FOSS Lmt
1952 E FT UNION BLVD
SALT LAKE CITY, UT 84121-6877
Phone number: 801-495-5234
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