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Individual

WORTHY VIETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8606 N 11600 W, THATCHER, UT 84337-9103
(435) 538-5061
(435) 538-5066
Mailing address
58 S 950 W, BRIGHAM CITY, UT 84302-4424
(435) 538-5061
(435) 538-5066

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/12/2012
Last updated
01/12/2012
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