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1063513596
CONSTANCE K MAVES
SALT LAKE CITY, UT
NPI
1063513596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085P0229X Radiology Pediatric Radiology
(Licence: UT 5010881-1205)
Enumeration Date
2006-09-26
Last Update Date
2008-06-17
Business Address
DR. CONSTANCE K MAVES MD
100 N MEDICAL DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-1900
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Mailing Address
DR. CONSTANCE K MAVES MD
869 E 4500 S PMB 511
SALT LAKE CITY, UT 84107-3049
Phone number: 801-487-0451
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