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1861951840
JACOB KORISH
SANDY, UT
NPI
1861951840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 11169484-2401)
Enumeration Date
2019-03-18
Last Update Date
2019-03-18
Business Address
JACOB KORISH DPT
9450 S 1300 E
SANDY, UT 84094-5555
Phone number: 801-501-2133
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Mailing Address
JACOB KORISH DPT
860 E 300 S APT 33
SALT LAKE CITY, UT 84102-2331
Phone number: 563-258-1505
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