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1215546759
JOSEPH CHARLES LYDON
CEDAR CITY, UT
NPI
1215546759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2020-07-30
Last Update Date
2020-07-30
Business Address
JOSEPH CHARLES LYDON
6484 N 2300 W
CEDAR CITY, UT 84721-7102
Phone number: 435-867-4876
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Mailing Address
JOSEPH CHARLES LYDON
299 N 200 W
BOUNTIFUL, UT 84010-7043
Phone number: 801-815-3443
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