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Organization
FUNCTIONAL ENDOCRINOLOGY CLINIC
Active
Organization
FUNCTIONAL ENDOCRINOLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA REDD D.C. (CHIROPRACTOR)
(435) 862-0152
Entity
Organization
Contact information
Practice address
10969 RIVER FRONT PKWY # 108, SOUTH JORDAN, UT 84095-3538
(435) 862-0152
Mailing address
8942 COTTAGE CANYON DR, CEDAR HILLS, UT 84062-8781
(435) 862-0152
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
5791354-1202
UT
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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