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Individual

CORY HANS BORUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
147 W 400 N, OREM, UT 84057-4658
(801) 221-9060
(801) 221-9071
Mailing address
PO BOX 307, BOUNTIFUL, UT 84011-0307
(801) 294-6907
(801) 294-6917

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1193692401

Other

Enumeration date
09/10/2008
Last updated
05/20/2010
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