LANDON DERU

OGDEN, UT
NPI1346511532
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2012-01-19
Last Update Date2012-01-19
Business Address
-- LANDON DERU ATC-L
3730 BRINKER AVE
OGDEN, UT 84403-2019
Phone number: 801-928-3213
Mailing Address
-- LANDON DERU ATC-L
3730 BRINKER AVE
OGDEN, UT 84403-2019
Phone number: 801-928-3213
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