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1932878030
ELLSWORTH FOOT AND ANKLE CLINIC
PROVO, UT
NPI
1932878030
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Entity Type
Organization
Authorized Contact
RYAN ELLSWORTH
Owner
801-253-6886
Organization Subpart ?
No
Primary Taxonomy
213E00000X Podiatrist
Enumeration Date
2021-09-10
Last Update Date
2022-04-12
Business Address
ELLSWORTH FOOT AND ANKLE CLINIC
777 N 500 W STE 103
PROVO, UT 84601-1552
Phone number: 801-253-6886
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Mailing Address
ELLSWORTH FOOT AND ANKLE CLINIC
12523 S CREEK MEADOW RD STE 105
RIVERTON, UT 84065-7299
Phone number: 801-253-6886
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