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Organization

SUNRISE MEDICAL SUPPLY STORE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVE YAYMAYAN (OWNER)
(801) 563-5124
Entity
Organization

Contact information

Practice address
1411 W 9000 S, WEST JORDAN, UT 84088-9217
(801) 563-5124
(801) 565-5866
Mailing address
1411 W 9000 S, WEST JORDAN, UT 84088-9217
(801) 563-5124
(801) 565-5866

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
V12845
UT

Other

Enumeration date
08/15/2006
Last updated
08/17/2007
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