Organization
CUSTOM HEARING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LYNN JEPHSON BC HIS (CEO)
(801) 965-0250
Entity
Organization
Contact information
Practice address
3285 SOUTH 5063 WEST, WEST VALLEY, UT 84120
(801) 965-0250
Mailing address
3285 SOUTH 5063 WEST, WEST VALLEY, UT 84120
(801) 965-0250
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
112
WY
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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