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1932493707
BRUCE GOUDELOCK
SALT LAKE CITY, UT
NPI
1932493707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 5078923-2401)
Enumeration Date
2011-06-08
Last Update Date
2021-12-27
Business Address
BRUCE GOUDELOCK MSPT
482 BRYAN AVE
SALT LAKE CITY, UT 84115-1714
Phone number: 801-585-2119
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Mailing Address
BRUCE GOUDELOCK MSPT
482 BRYAN AVE
SALT LAKE CITY, UT 84115-1714
Phone number:
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