CHANTEL DIMITRICOFF

LOGAN, UT
NPI1407105398
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-09-06
Last Update Date2012-09-06
Business Address
CHANTEL DIMITRICOFF
90 E 200 N
LOGAN, UT 84321
Phone number: 435-752-0750
Mailing Address
CHANTEL DIMITRICOFF
90 E 200 N
LOGAN, UT 84321
Phone number: 435-752-0750
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