LIFESTAR SALT LAKE, LLC

MURRAY, UT
NPI1528306446
Entity TypeOrganization
Authorized ContactDANIEL D GRAY
Clinical Director
801-262-2400
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: UT  123039-3501)
Enumeration Date2013-01-28
Last Update Date2013-01-28
Business Address
LIFESTAR SALT LAKE, LLC
151 E 5600 S #204
MURRAY, UT 84107-6181
Phone number: 801-262-2400
Mailing Address
LIFESTAR SALT LAKE, LLC
151 E 5600 S #204
MURRAY, UT 84107-6181
Phone number: 801-262-2400
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