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1013153311
SERAPHINE MED TAYLORSVILLE, LLC
TAYLORSVILLE, UT
NPI
1013153311
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Entity Type
Organization
Authorized Contact
ROBERT WENDELL GNEITING
Managing Member
801-966-9907
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2008-12-17
Last Update Date
2008-12-17
Business Address
SERAPHINE MED TAYLORSVILLE, LLC
6126 SOUTH REDWOOD ROAD
TAYLORSVILLE, UT 84123
Phone number: 801-966-9907
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Mailing Address
SERAPHINE MED TAYLORSVILLE, LLC
PO BOX 71218
SALT LAKE CITY, UT 84171-0218
Phone number: 801-966-9907
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