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Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC J BERUBE DC (OWNER)
(801) 565-9500
Entity
Organization

Contact information

Practice address
3075 WEST 7800 SOUTH, WEST JORDAN, UT 84088-2802
(801) 565-9500
(801) 304-7046
Mailing address
3075 W 7800 S, WEST JORDAN, UT 84088-2802
(801) 565-9500
(801) 304-7046

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
292911-1202
UT

Other

Enumeration date
03/03/2008
Last updated
02/24/2012
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