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1659625135
GRANT HYRUM CEFALO
LOGAN, UT
NPI
1659625135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: UT 6045445-4901)
Enumeration Date
2012-11-05
Last Update Date
2014-10-22
Business Address
-- GRANT HYRUM CEFALO RD
1350 N 500 E
LOGAN, UT 84341
Phone number: 435-452-1844
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Mailing Address
-- GRANT HYRUM CEFALO RD
1350 N 500 E
LOGAN, UT 84341-2400
Phone number: 435-452-1844
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