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1043770472
LUIS B. FANDINO
SALT LAKE CITY, UT
NPI
1043770472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: UT 11912760-1205)
Enumeration Date
2019-03-21
Last Update Date
2020-08-27
Business Address
LUIS B. FANDINO MD
590 S WAKARA WAY
SALT LAKE CITY, UT 84108-1200
Phone number: 801-587-5448
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Mailing Address
LUIS B. FANDINO MD
590 S WAKARA WAY
SALT LAKE CITY, UT 84108-1200
Phone number: 801-587-5448
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