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Individual

MR. JESSE MOFFAT MALAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT, MMP

Contact information

Practice address
169 W 2710 SOUTH CIR, ST GEORGE, UT 84790-7201
(435) 609-9617
Mailing address
265 N DIXIE DR UNIT 86, ST GEORGE, UT 84770-6189
(435) 630-3452

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7907321-4701
UT

Other

Enumeration date
07/11/2023
Last updated
07/11/2023
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