KEVIN WILLIS HALL

LOGAN, UT
NPI1790306884
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: UT  9037678-2402)
Enumeration Date2020-04-30
Last Update Date2020-04-30
Business Address
KEVIN WILLIS HALL PTA
1400 N 500 E
LOGAN, UT 84341-2455
Phone number: 435-716-2882
Mailing Address
KEVIN WILLIS HALL PTA
1510 W CENTER ST
LEWISTON, UT 84320-1645
Phone number: 435-770-8798
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