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Organization

EZRA 1ST MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYQAIL TAYLOR (OWNER)
(725) 268-4560
Entity
Organization

Contact information

Practice address
2480 S MAIN ST STE 108, SOUTH SALT LAKE, UT 84115-5002
(385) 584-7799
Mailing address
2480 S MAIN ST STE 108, SOUTH SALT LAKE, UT 84115-5002

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/27/2026
Last updated
03/27/2026
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