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1215595871
LIFE HEALTH REGENERATION LLC
SALT LAKE CITY, UT
NPI
1215595871
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Entity Type
Organization
Authorized Contact
MATTHEW WOOD
Owner
801-450-6940
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2019-05-30
Last Update Date
2019-05-30
Business Address
LIFE HEALTH REGENERATION LLC
1770 E FORT UNION BLVD STE 101
SALT LAKE CITY, UT 84121-2881
Phone number: 801-997-8881
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Mailing Address
LIFE HEALTH REGENERATION LLC
1770 E FORT UNION BLVD STE 101
SALT LAKE CITY, UT 84121-2881
Phone number: 801-997-8881
Copy
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