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Cory Virgin
NPI 1447671896 · on the registry since 2014 · sole proprietor
Practice
- Address
- 558 N 2310 W
Provo, UT 84601 - Phone
- (801) 356-2799
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-01
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