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1871128355
JOEL TREVINO
OGDEN, UT
NPI
1871128355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2020-03-05
Last Update Date
2020-03-05
Business Address
JOEL TREVINO PTA
349 12TH ST
OGDEN, UT 84404-5712
Phone number: 801-942-3311
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Mailing Address
JOEL TREVINO PTA
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number:
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