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Individual

KEYAN RAFIZADEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10894 S RIVER FRONT PKWY, SOUTH JORDAN, UT 84095-5609
(801) 302-2600
Mailing address
122 E SEGO LILY DR APT 407, SANDY, UT 84070-4391
(818) 642-9113

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/02/2026
Last updated
03/02/2026
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