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Organization
JENCO MEDICAL, INC.
Active
Organization
JENCO MEDICAL, INC.
Active
Other names
Utah Prosthetics and Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN COLLEEN CHILDS (OFFICE MANAGER)
(801) 566-5795
Entity
Organization
Contact information
Practice address
1153 N MAIN ST, SUITE B140, LOGAN, UT 84341-2495
(435) 750-6579
(435) 750-6586
Mailing address
7026 COMMERCE PARK DR, SUITE 2, MIDVALE, UT 84047-1026
(801) 566-5795
(801) 566-5790
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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