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1013003904
GEORGE W DELAVAN
SALT LAKE CITY, UT
NPI
1013003904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: UT 160530-1205)
Enumeration Date
2006-10-05
Last Update Date
2012-03-01
Business Address
GEORGE W DELAVAN MD
44 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-584-8239
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Mailing Address
GEORGE W DELAVAN MD
2691 COMANCHE CIR
SALT LAKE CITY, UT 84108-2807
Phone number: 801-581-1258
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