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Raphael Nutakor
NPI 1487071973 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1042 E Fort Union Blvd # 123
Midvale, UT 84047 - Phone
- (775) 287-5508
Registry record
- Primary taxonomy
- Home Modifications Contractor
171WH0202X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-03-24
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