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1801627096
MOD-DOC INC.
FARR WEST, UT
NPI
1801627096
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Entity Type
Organization
Authorized Contact
DAX BEAUDOIN
Owner / President
801-828-8682
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2024-08-09
Last Update Date
2024-08-09
Business Address
MOD-DOC INC.
1741 N 2000 W STE 4
FARR WEST, UT 84404-9811
Phone number: 385-470-0150
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Mailing Address
MOD-DOC INC.
1741 N 2000 W STE 4
FARR WEST, UT 84404-9811
Phone number: 385-470-0150
Copy
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