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1174307615
CENTRE YOU KETAMINE LLC
PROVO, UT
NPI
1174307615
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Entity Type
Organization
Authorized Contact
JOHN BELL
Manager
844-236-8738
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2023-08-24
Last Update Date
2023-08-24
Business Address
CENTRE YOU KETAMINE LLC
491 N FREEDOM BLVD
PROVO, UT 84601-2824
Phone number: 844-236-8738
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Mailing Address
CENTRE YOU KETAMINE LLC
933 E 1910 S STE 102
PROVO, UT 84606-5562
Phone number: 844-236-8738
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