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Individual

HAZEN S HUNT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
4669 W 3500 S STE 1, WEST VALLEY CITY, UT 84120-3077
(801) 913-1783
Mailing address
4669 W 3500 S, WEST VALLEY CITY, UT 84120-3072
(801) 913-1783

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
7493910-4701
UT
225700000X
Massage Therapist
Primary
7493910-4701
UT

Other

Enumeration date
09/12/2010
Last updated
04/08/2011
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