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1861928418
CAMILLE KOGA
OGDEN, UT
NPI
1861928418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: UT 10196066-2402)
Enumeration Date
2017-05-02
Last Update Date
2017-05-02
Business Address
CAMILLE KOGA PTA
3903 HARRISON BLVD SUITE 400
OGDEN, UT 84403-2314
Phone number: 801-387-2080
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Mailing Address
CAMILLE KOGA PTA
3903 HARRISON BLVD SUITE 400
OGDEN, UT 84403-2314
Phone number: 801-387-2080
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