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1972811669
TRAVIS G. JARDINE
MURRAY, UT
NPI
1972811669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: UT 359811-8019)
Enumeration Date
2010-09-16
Last Update Date
2010-09-16
Business Address
-- TRAVIS G. JARDINE PTA
5121 COTTONWOOD ST
MURRAY, UT 84107-5701
Phone number: 801-507-5746
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Mailing Address
-- TRAVIS G. JARDINE PTA
10725 SUGARBUSH CT
SOUTH JORDAN, UT 84095-8365
Phone number: 801-302-8028
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