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Individual

KENNEDY MATUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
430 E 450 S, CLEARFIELD, UT 84015-1736
(801) 776-3305
(801) 774-9594
Mailing address
430 E 450 S, CLEARFIELD, UT 84015-1736
(801) 776-3305
(801) 774-9594

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
02/13/2017
Last updated
02/13/2017
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