DEREK GALLEGOS OWEN

ST GEORGE, UT
NPI1750014379
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: UT  11409078-4201)
Enumeration Date2022-07-01
Last Update Date2022-07-01
Business Address
DEREK GALLEGOS OWEN
121 W TABERNACLE ST
ST GEORGE, UT 84770-3338
Phone number: 435-673-3553
Mailing Address
DEREK GALLEGOS OWEN
1629 S 980 EAST CIR
ST GEORGE, UT 84790-2260
Phone number: 435-705-9574
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