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1720548670
JUSTIN D. PROVO
SALT LAKE CITY, UT
NPI
1720548670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: UT 12017642-1205)
Enumeration Date
2019-03-25
Last Update Date
2020-11-05
Business Address
JUSTIN D. PROVO MD
30 N 1900 E RM 1C301
SALT LAKE CITY, UT 84132-0002
Phone number: 801-585-2589
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Mailing Address
JUSTIN D. PROVO MD
30 N 1900 E RM 1C301
SALT LAKE CITY, UT 84132-0002
Phone number: 801-585-2589
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