MATTHEW EDWARD DEBERRY

LOGAN, UT
NPI1730606096
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-08-28
Last Update Date2022-07-21
Business Address
MATTHEW EDWARD DEBERRY
90 E 200 N
LOGAN, UT 84321
Phone number: 435-752-0750
Mailing Address
MATTHEW EDWARD DEBERRY
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
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