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Individual
EZEKIAL CRUZ MENDENHALL
Active
Individual
EZEKIAL CRUZ MENDENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9253802-2401
UT
Other
Enumeration date
06/17/2015
Last updated
01/14/2019
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