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Organization

ALI'S ANGELS INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BILLY JOHNSON M.C.P. (OWNER)
(435) 225-3462
Entity
Organization

Contact information

Practice address
740 S 400 W, BRIGHAM CITY, UT 84302-2878
(435) 225-3462
Mailing address
740 S 400 W, BRIGHAM CITY, UT 84302-2878

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
2008-HHA-86908
UT

Other

Enumeration date
09/19/2008
Last updated
09/19/2008
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