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WEST JORDAN, UT
NPI1548430820
Entity TypeOrganization
Authorized ContactERIC J BERUBE
Owner
801-565-9500
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: UT  292911-1202)
Enumeration Date2008-03-03
Last Update Date2012-02-24
Business Address
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3075 WEST 7800 SOUTH
WEST JORDAN, UT 84088-2802
Phone number: 801-565-9500
Mailing Address
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3075 W 7800 S
WEST JORDAN, UT 84088-2802
Phone number: 801-565-9500