Individual
MEGAN GAE MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
756 E 12200 S, DRAPER, UT 84020-9724
(801) 328-2522
Mailing address
756 E 12200 S, DRAPER, UT 84020-9724
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
79414754101
UT
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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