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Organization

STATE OF UTAH, DEPARTMENT OF HEALTH

Active
Other names
Baby Watch Early Intervention
Organization subpart
No

Provider details

NPI number
Authorized official
MYKIO SARACINO MPA (FINANCIAL MANAGER)
(385) 228-4798
Entity
Organization

Contact information

Practice address
2540 WASHINGTON BLVD STE 122, OGDEN, UT 84401-3112
(801) 626-0256
Mailing address
PO BOX 144720, SALT LAKE CITY, UT 84114-4720
(801) 584-8226

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
09/19/2019
Last updated
09/19/2019
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