Provider First Line Business Practice Location Address:
1114 UNIVERSITY CIR
Provider Second Line Business Practice Location Address:
STUDENT SERVICES BLDG, RM 280
Provider Business Practice Location Address City Name:
OGDEN
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84408-1114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-626-6406
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/14/2011