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Individual

AIOFAIVA SEUFALE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3311 N UNIVERSITY AVE STE 100, PROVO, UT 84604-7432
(385) 480-9147
Mailing address
805 S STUBBS AVE, PROVO, UT 84601-5616
(385) 333-3039

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7935457-4701
UT

Other

Enumeration date
11/08/2024
Last updated
10/14/2025
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