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1326745787
RIVENDELL CLINIC LLC
PROVO, UT
NPI
1326745787
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Entity Type
Organization
Authorized Contact
SARAH INGERSON
Dr
385-985-8423
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2023-02-15
Last Update Date
2023-02-15
Business Address
RIVENDELL CLINIC LLC
1381 ALPINE LOOP
PROVO, UT 84606-5300
Phone number: 385-446-5010
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Mailing Address
RIVENDELL CLINIC LLC
826 EXPRESSWAY LN UNIT 746
SPANISH FORK, UT 84660-1300
Phone number: 385-446-5010
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