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Organization
UTAH NAVAJO HEALTH SYSTEM INCORPORATED
Active
Organization
UTAH NAVAJO HEALTH SYSTEM INCORPORATED
Active
Other names
Blanding Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JENSEN (CHIEF EXECUTIVE OFFICER)
(435) 651-3713
Entity
Organization
Contact information
Practice address
792 S MAIN ST, BLANDING, UT 84511-3924
(435) 678-2795
Mailing address
PO BOX 130, MONTEZUMA CREEK, UT 84534-0130
(435) 651-3828
(435) 678-0608
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811991151
—
UT
Enumeration date
08/17/2018
Last updated
08/17/2018
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