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Individual
GREGORY C. RASMUSSEN
Active
Individual
GREGORY C. RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
7597097-1206
UT
363AM0700X
Medical Physician Assistant
7597097-1206
UT
Other
Enumeration date
10/07/2010
Last updated
12/04/2019
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