JUSTIN MATTHEW FRAZIER

WEST DES MOINES, IA
NPI1477248870
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CO  PDT.0000614)
Enumeration Date2023-04-10
Last Update Date2023-04-10
Business Address
JUSTIN MATTHEW FRAZIER
415 34TH ST
WEST DES MOINES, IA 50265-4023
Phone number: 612-559-6488
Mailing Address
JUSTIN MATTHEW FRAZIER
415 34TH ST
WEST DES MOINES, IA 50265-4023
Phone number: 612-559-6488
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