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1346511532
LANDON DERU
OGDEN, UT
NPI
1346511532
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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
2012-01-19
Last Update Date
2012-01-19
Business Address
-- LANDON DERU ATC-L
3730 BRINKER AVE
OGDEN, UT 84403-2019
Phone number: 801-928-3213
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Mailing Address
-- LANDON DERU ATC-L
3730 BRINKER AVE
OGDEN, UT 84403-2019
Phone number: 801-928-3213
Copy
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