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1265016257
MATTISON DOMAN
LOGAN, UT
NPI
1265016257
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-05-06
Last Update Date
2021-05-06
Business Address
MATTISON DOMAN
2371 N WOLFPACK WAY
LOGAN, UT 84341-4503
Phone number: 801-556-8839
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Mailing Address
MATTISON DOMAN
2371 N WOLFPACK WAY
LOGAN, UT 84341-4503
Phone number: 801-556-8839
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