JUSTIN INGRAHAM

MAGNA, UT
NPI1437954260
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  12849022-4405)
Enumeration Date2025-02-17
Last Update Date2025-02-17
Business Address
JUSTIN INGRAHAM
3665 S 8400 W
MAGNA, UT 84044-4907
Phone number: 801-250-9638
Mailing Address
JUSTIN INGRAHAM
3761 W ANGELICA WAY
SOUTH JORDAN, UT 84095-5116
Phone number: 801-641-0289
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