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Organization
EZRA 1ST MEDICAL
Active
Organization
EZRA 1ST MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYQAIL TAYLOR (OWNER)
(725) 268-4560
Entity
Organization
Contact information
Practice address
2480 S MAIN ST STE 108, SOUTH SALT LAKE, UT 84115-5002
(385) 584-7799
Mailing address
2480 S MAIN ST STE 108, SOUTH SALT LAKE, UT 84115-5002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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