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Organization

EMISSARY LLC

Active
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Organization

EMISSARY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TYLER MARTINEAU (OWNER)
(435) 225-2766
Entity
Organization

Contact information

Practice address
1307 W 800 N, CLINTON, UT 84015-8807
(435) 225-2766
Mailing address
1307 W 800 N, CLINTON, UT 84015-8807
(435) 225-2766

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
05/23/2022
Last updated
05/23/2022
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