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Keith Deagostine
NPI 1649508755 · on the registry since 2009 · sole proprietor
Practice
- Address
- 3072 W 300 N
Suite A
West Point, UT 84015 - Phone
- (914) 623-8375
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 261QP2000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-09-12
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