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Individual
GRANT HYRUM CEFALO
Active
Individual
GRANT HYRUM CEFALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6045445-4901
UT
Other
Enumeration date
11/05/2012
Last updated
10/22/2014
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