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Jonatan Lopez Mancilla
NPI 1053973685 · on the registry since 2019
Practice
- Address
- 390 W 100 N
Ephraim, UT 84627 - Phone
- (435) 283-4065
- Fax
- (435) 462-8407
- Organisation at this address
- Central Utah Mental Health Substance Abuse
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 30
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101YM0800X
- Sex
- Male
- Record last updated
- 2025-10-17
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