JON ALFREDO RUIZ

PROVO, UT
NPI1457981797
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: UT  4852194-3101)
Enumeration Date2020-01-24
Last Update Date2021-12-14
Business Address
JON ALFREDO RUIZ LPN
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Mailing Address
JON ALFREDO RUIZ LPN
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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