RIVENDELL CLINIC LLC

PROVO, UT
NPI1326745787
Entity TypeOrganization
Authorized ContactSARAH INGERSON
Dr
385-985-8423
Organization Subpart ?No
Primary Taxonomy261Q00000X 
Enumeration Date2023-02-15
Last Update Date2023-02-15
Business Address
RIVENDELL CLINIC LLC
1381 ALPINE LOOP
PROVO, UT 84606-5300
Phone number: 385-446-5010
Mailing Address
RIVENDELL CLINIC LLC
826 EXPRESSWAY LN UNIT 746
SPANISH FORK, UT 84660-1300
Phone number: 385-446-5010
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