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Individual

MR. JOSEPH ALBERT MAHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CP

Contact information

Practice address
2120 S 900 E, SALT LAKE CITY, UT 84106-2325
(801) 972-5270
(801) 606-7346
Mailing address
2120 S 900 E, SALT LAKE CITY, UT 84106-2325
(801) 972-5270
(801) 606-7346

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
3054

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
721608838001
UT
Enumeration date
03/17/2006
Last updated
12/16/2015
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