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1902677701
AUSTIN GUTIERREZ
PROVO, UT
NPI
1902677701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: UT PENDING)
Enumeration Date
2024-01-10
Last Update Date
2024-01-10
Business Address
AUSTIN GUTIERREZ PTA
280 RIVER PARK DR STE 310
PROVO, UT 84604-5764
Phone number: 385-401-5010
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Mailing Address
AUSTIN GUTIERREZ PTA
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 423-238-7217
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