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Individual

CHRISTINA PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
237 26TH ST, OGDEN, UT 84401-3105
(801) 778-6249
Mailing address
237 26TH ST, OGDEN, UT 84401-3105
(801) 778-6249

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
260022408
RAILROAD MEDICARE
UT
05
876000308007
UT
Enumeration date
01/17/2017
Last updated
01/17/2017
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