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Organization

CLEAN CLINIC

Active
Other names
Clean Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL E WEBB (CHIEF OPERATING OFFICER)
(801) 721-2491
Entity
Organization

Contact information

Practice address
10421 S JORDAN GTWY STE 600, SOUTH JORDAN, UT 84095-3902
(801) 721-2491
Mailing address
10421 S JORDAN GTWY STE 600, SOUTH JORDAN, UT 84095-3902
(801) 721-2491

Taxonomy

Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary

Other

Enumeration date
03/04/2021
Last updated
03/04/2021
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