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Autumn Moulton
NPI 1720532245 · on the registry since 2016 · sole proprietor
Practice
- Address
- 5427 W Imperia Way
Herriman, UT 84096 - Phone
- (815) 501-5035
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Sex
- Female
- Record last updated
- 2016-08-12
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