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Individual

JOHNATHAN HORNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6362 VINTAGE OAK LN, SALT LAKE CITY, UT 84121-6544
(801) 277-2423
(801) 277-2493
Mailing address
6362 VINTAGE OAK LN, SALT LAKE CITY, UT 84121-6544
(801) 277-2423
(801) 277-2493

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
26865
CO

Other

Enumeration date
03/12/2007
Last updated
07/08/2007
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