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Organization
CLOSE TO YOU
Active
Organization
CLOSE TO YOU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY CARROLL (OWNER)
(801) 698-8850
Entity
Organization
Contact information
Practice address
1229 W 4000 N, PLEASANT VIEW, UT 84414-1343
(801) 698-8850
Mailing address
1229 W 4000 N, PLEASANT VIEW, UT 84414-1343
(801) 698-8850
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
NULL
224900000X
Mastectomy Fitter
Primary
—
—
224P00000X
Prosthetist
—
NULL
224P00000X
Prosthetist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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