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1831882158
KENNETH JAMES MEDINA
OGDEN, UT
NPI
1831882158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 13398641-2401)
Enumeration Date
2023-06-01
Last Update Date
2023-06-01
Business Address
KENNETH JAMES MEDINA DPT
5349 ADAMS AVE PKWY STE A
OGDEN, UT 84405-4736
Phone number: 801-479-9865
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Mailing Address
KENNETH JAMES MEDINA DPT
5349 ADAMS AVE PKWY STE A
OGDEN, UT 84405-4736
Phone number: 801-479-9865
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