Individual
LORANT STEVE BODO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
463 WEST RAWLINS CIRCLE, CENTERVILLE, UT 84014
(801) 397-9707
Mailing address
2499 CHARROS RD, SANDY, UT 84092-4815
(801) 495-1086
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2558
UT
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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