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Individual

TAUAMANUA ENOSA FIAPAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
920 N 0000 E/W, MANTI, UT 84642-0287
(801) 420-4697
(801) 855-7302
Mailing address
920 N 0000 E/W, MANTI, UT 84642-0287
(801) 420-4697
(801) 855-7302

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/17/2013
Last updated
05/17/2013
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