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1982050894
JOHN STAVAST
PLEASANT GROVE, UT
NPI
1982050894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: UT 12427493-2401)
Enumeration Date
2016-05-10
Last Update Date
2024-08-31
Business Address
JOHN STAVAST DPT
526 W CENTER ST STE 105
PLEASANT GROVE, UT 84062-3359
Phone number: 801-899-3814
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Mailing Address
JOHN STAVAST DPT
526 W CENTER ST STE 105
PLEASANT GROVE, UT 84062-3359
Phone number: 801-899-3814
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