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1982307005
HIMASA J. WIJETUNGE
SALT LAKE CITY, UT
NPI
1982307005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: UT 14168072-1205)
Enumeration Date
2023-03-27
Last Update Date
2024-09-27
Business Address
HIMASA J. WIJETUNGE MD
85 N MEDICAL DR
SALT LAKE CITY, UT 84112-1100
Phone number: 801-581-7985
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Mailing Address
HIMASA J. WIJETUNGE MD
85 N MEDICAL DR
SALT LAKE CITY, UT 84112-1100
Phone number: 801-581-7985
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