JONATAN LOPEZ MANCILLA

EPHRAIM, UT
NPI1053973685
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2019-07-03
Last Update Date2019-07-03
Business Address
JONATAN LOPEZ MANCILLA
390 W 100 N
EPHRAIM, UT 84627-2131
Phone number: 435-283-4065
Mailing Address
JONATAN LOPEZ MANCILLA
152 N 400 W
EPHRAIM, UT 84627-5549
Phone number: 435-283-8400
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