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Individual

D'ARTAGNON WELLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
8629 S VAQUERO DR, SANDY, UT 84094-1823
(435) 890-5136
Mailing address
8629 S VAQUERO DR, SANDY, UT 84094-1823
(435) 890-5136

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5694029-4701
UT

Other

Enumeration date
01/31/2024
Last updated
01/31/2024
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