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Individual

MR. FABIAN OSSANDON SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
887 W 2630 N, LEHI, UT 84043-5453
(385) 450-4321
Mailing address
887 W 2630 N, LEHI, UT 84043-5453
(385) 450-4321

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
UT

Other

Enumeration date
12/29/2025
Last updated
12/29/2025
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