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Organization

THE PERMANENT COSMETIC PLACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUDY ROSKELLEY CPCT (OWNER)
(801) 940-1285
Entity
Organization

Contact information

Practice address
791 W 4400 S, RIVERDALE, UT 84405-3443
(801) 940-1285
Mailing address
791 W 4400 S, RIVERDALE, UT 84405-3443
(801) 940-1285

Taxonomy

Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary

Other

Enumeration date
01/20/2017
Last updated
01/20/2017
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