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Jonathan Ravarino, PHD
NPI 1881926269 · on the registry since 2010 · sole proprietor
Practice
- Address
- 201 S 1460 E Rm 426
Salt Lake City, UT 84112 - Phone
- (801) 918-5275
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 1041C0700X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-11-02
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