DANIEL BURGESS

PROVO, UT
NPI1134647977
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: UT  9897134-4901)
Enumeration Date2017-08-31
Last Update Date2017-08-31
Business Address
DANIEL BURGESS RDN, CD
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-8413
Mailing Address
DANIEL BURGESS RDN, CD
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number:
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