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1043091960
AGING CLINIC OF SOUTHERN UTAH PLLC
CEDAR CITY, UT
NPI
1043091960
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Entity Type
Organization
Authorized Contact
KIRSTEN LEIGH GRAHAM
Owner/Provider
435-277-0285
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2023-10-06
Last Update Date
2024-02-20
Business Address
AGING CLINIC OF SOUTHERN UTAH PLLC
94 S 300 E
CEDAR CITY, UT 84720-3318
Phone number: 435-277-0285
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Mailing Address
AGING CLINIC OF SOUTHERN UTAH PLLC
94 S 300 E
CEDAR CITY, UT 84720-3318
Phone number: 435-277-0285
Copy
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