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Organization
AYUEN & NUTAKOR SERVICES
Active
Organization
AYUEN & NUTAKOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYUEN NUTAKOR (CEO)
(801) 662-8956
Entity
Organization
Contact information
Practice address
825 N 300 W STE W307, SALT LAKE CITY, UT 84103-1490
(801) 662-8956
Mailing address
PO BOX 57001, MURRAY, UT 84157-0001
(801) 662-8956
Taxonomy
Speciality
Code
Description
License number
State
2084P0005X
Neurodevelopmental Disabilities Physician
Primary
—
NULL
2084P0005X
Neurodevelopmental Disabilities Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213524127
DRIVER'S LICENCE NUMBER
UT
Enumeration date
06/11/2019
Last updated
06/11/2019
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