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Genesis Roque

NPI 1316335714 · on the registry since 2015 · sole proprietor

Practice

Address
5371 W 4100 S
West Valley, UT 84120
Phone
(801) 688-0396

Registry record

Primary taxonomy
171R00000X
171R00000X
Sex
Male
Record last updated
2015-01-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah