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Organization

MINDFUL MOBILITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NATHANIEL M STEPHENS (MEMBER)
(435) 754-6202
Entity
Organization

Contact information

Practice address
2690 PENNSYLVANIA AVE UNIT 7, OGDEN, UT 84401-3384
(385) 264-2089
(877) 795-4950
Mailing address
4138 S 950 E, OGDEN, UT 84403-2968
(435) 754-6202

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
10/26/2019
Last updated
04/01/2020
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