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Individual

JUSTIN INGRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3665 S 8400 W, MAGNA, UT 84044-4907
(801) 250-9638
Mailing address
3761 W ANGELICA WAY, SOUTH JORDAN, UT 84095-5116
(801) 641-0289

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12849022-4405
UT

Other

Enumeration date
02/17/2025
Last updated
02/17/2025
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