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1093909434
ROGER T RUSSELL
SALT LAKE CITY, UT
NPI
1093909434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 1934)
Enumeration Date
2007-08-29
Last Update Date
2007-08-29
Business Address
-- ROGER T RUSSELL
1956 BERKELEY ST
SALT LAKE CITY, UT 84108-3202
Phone number: 801-467-6290
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Mailing Address
-- ROGER T RUSSELL
1956 BERKELEY ST
SALT LAKE CITY, UT 84108-3202
Phone number: 801-467-6290
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