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1790137479
MELISSA LIKA BASS
SALT LAKE CITY, UT
NPI
1790137479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 8029264-2401)
Enumeration Date
2016-07-06
Last Update Date
2021-12-03
Business Address
Mrs. MELISSA LIKA BASS DPT
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2121
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Mailing Address
Mrs. MELISSA LIKA BASS DPT
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2121
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