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1679453781
THE SPORTS MED SPA LLC
WEST JORDAN, UT
NPI
1679453781
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Entity Type
Organization
Authorized Contact
GIBRAN BORJA
Owner
801-448-2218
Organization Subpart ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2025-09-08
Last Update Date
2025-10-16
Business Address
THE SPORTS MED SPA LLC
3580 W 9000 S
WEST JORDAN, UT 84088-8812
Phone number: 801-448-2218
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Mailing Address
THE SPORTS MED SPA LLC
4645 W S JORDAN PKWY
SOUTH JORDAN, UT 84009-5761
Phone number:
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