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Individual

MR. ROGER DEVIN CHESTNUT II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MMP

Contact information

Practice address
2132 N CHANDLER DR, CEDAR CITY, UT 84721-9382
(843) 325-6391
Mailing address
2132 N CHANDLER DR, CEDAR CITY, UT 84721-9382
(843) 325-6391

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13277021-4701
UT

Other

Enumeration date
01/29/2024
Last updated
01/29/2024
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