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1336889559
ETHAN JAMES MATTHEW
MURRAY, UT
NPI
1336889559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-29
Last Update Date
2022-03-29
Business Address
ETHAN JAMES MATTHEW MD
5121 S COTTONWOOD ST
MURRAY, UT 84107-5701
Phone number: 801-507-7000
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Mailing Address
ETHAN JAMES MATTHEW MD
5121 S COTTONWOOD ST
MURRAY, UT 84107-5701
Phone number: 801-507-7000
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