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Individual

AUSTIN MATTHEW HARTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
578 5TH ST, OGDEN, UT 84404-4305
(801) 814-5238
Mailing address
578 5TH STREET, OGDEN, UT 84404
(801) 814-5238

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
UT

Other

Enumeration date
08/02/2011
Last updated
08/02/2011
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