BRUCE GOUDELOCK

SALT LAKE CITY, UT
NPI1932493707
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  5078923-2401)
Enumeration Date2011-06-08
Last Update Date2021-12-27
Business Address
BRUCE GOUDELOCK MSPT
482 BRYAN AVE
SALT LAKE CITY, UT 84115-1714
Phone number: 801-585-2119
Mailing Address
BRUCE GOUDELOCK MSPT
482 BRYAN AVE
SALT LAKE CITY, UT 84115-1714
Phone number:
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