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Individual

NATHAN HENDRIKSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
2255 N 1700 W STE 200, LAYTON, UT 84041-1187
(801) 776-2180
(801) 776-2534
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 776-2180
(801) 776-2534

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
8705205-4101
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1386075752
UT
Enumeration date
12/10/2013
Last updated
11/03/2021
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