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Individual

NATHAN CHRISTIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1117 W 400 S, SPRINGVILLE, UT 84663-3061
(801) 374-2015
(801) 374-9954
Mailing address
1324 N STATE ST, PROVO, UT 84604-2419
(801) 374-2015
(801) 374-9954

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6652684-1701
UT
183500000X
Pharmacist
PHA.0020028
CO

Other

Enumeration date
06/12/2014
Last updated
10/09/2019
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