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Organization

BALANCE FOR LIFE CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRAIG A BLAMIRES (MBR)
(801) 264-1010
Entity
Organization

Contact information

Practice address
291 E 4500 S, MURRAY, UT 84107-3883
(801) 264-1010
(801) 264-1027
Mailing address
291 E 4500 S, MURRAY, UT 84107-3883
(801) 264-1010
(801) 264-1027

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
225100000X
Physical Therapist
363L00000X
Nurse Practitioner

Other

Enumeration date
05/16/2008
Last updated
09/10/2008
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