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Organization
FINAL KICK ANKLE AND FOOT CLINIC LLC
Active
Organization
FINAL KICK ANKLE AND FOOT CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SELINA SEKULIC DPM (PRESIDENT)
(804) 687-5191
Entity
Organization
Contact information
Practice address
348 E 4500 S, SUITE 370, SALT LAKE CITY, UT 84107-3906
(804) 687-5191
Mailing address
348 E 4500 S, SUITE 370, SALT LAKE CITY, UT 84107-3906
(804) 687-5191
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1891082830
UT
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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