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1922300078
ARIC LEON KETCHAM
MURRAY, UT
NPI
1922300078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
282NC0060X General Acute Care Hospital, Critical Access
Enumeration Date
2010-11-23
Last Update Date
2010-11-23
Business Address
Mr. ARIC LEON KETCHAM P.T.A.
5121 COTTONWOOD ST
MURRAY, UT 84107-5701
Phone number: 801-570-2000
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Mailing Address
Mr. ARIC LEON KETCHAM P.T.A.
3658 S 5725 W
WEST VALLEY CITY, UT 84128-2633
Phone number: 801-831-4012
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