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Organization
OPTIHEALTH LLC
Active
Organization
OPTIHEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CASTILLO APRN (MANAGER)
(801) 556-4864
Entity
Organization
Contact information
Practice address
280 S 9500 E, HUNTSVILLE, UT 84317-9766
(801) 628-5735
Mailing address
2650 WASHINGTON BLVD STE 103, OGDEN, UT 84401-3623
(385) 333-7966
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/29/2022
Last updated
01/29/2022
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