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Individual

JOHN ROBERT LAGMAN OBRIQUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CNA

Contact information

Practice address
19 W 1200 S, KAYSVILLE, UT 84037-2843
(801) 546-8884
Mailing address
19 W 1200 S, KAYSVILLE, UT 84037-2843
(801) 546-8884

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA036225
NV

Other

Enumeration date
02/26/2018
Last updated
02/26/2018
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