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1972819050
JUSTIN LANE KITCHEN
SPANISH FORK, UT
NPI
1972819050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 6267176-2401)
Enumeration Date
2010-08-26
Last Update Date
2023-07-27
Business Address
JUSTIN LANE KITCHEN P.T.
1284 E CENTER ST
SPANISH FORK, UT 84660-2319
Phone number: 458-219-5874
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Mailing Address
JUSTIN LANE KITCHEN P.T.
1284 E CENTER ST
SPANISH FORK, UT 84660-2319
Phone number: 458-219-5874
Copy
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