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1255055158
IRON PHOENIX PSYCHIATRY, LLC
DRAPER, UT
NPI
1255055158
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Entity Type
Organization
Authorized Contact
JACOB CLARK
Owner
801-449-1429
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2022-10-04
Last Update Date
2022-10-04
Business Address
IRON PHOENIX PSYCHIATRY, LLC
138 E 12300 S UNIT 860
DRAPER, UT 84020-7976
Phone number: 801-449-1429
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Mailing Address
IRON PHOENIX PSYCHIATRY, LLC
138 E 12300 S UNIT 860
DRAPER, UT 84020-7976
Phone number:
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