Individual
LEO BOREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
250 RED CLIFFS DR # 36B, ST GEORGE, UT 84790-8167
(435) 680-0773
Mailing address
2077 W 1575 N, ST GEORGE, UT 84770-4155
(435) 680-0773
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6858140-4701
UT
Other
Enumeration date
03/19/2024
Last updated
03/25/2024
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