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1922010982
CAROL HERZOG
OGDEN, UT
NPI
1922010982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 113732-2401)
Enumeration Date
2006-08-11
Last Update Date
2007-07-08
Business Address
Mrs. CAROL HERZOG PT
349 12TH ST
OGDEN, UT 84404-5712
Phone number: 801-393-0900
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Mailing Address
Mrs. CAROL HERZOG PT
349 12TH ST
OGDEN, UT 84404-5712
Phone number: 801-393-0900
Copy
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