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1104027234
LYLE BEYER MASON
BOUNTIFUL, UT
NPI
1104027234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery
(Licence: UT 162465-1205)
Enumeration Date
2007-05-29
Last Update Date
2007-07-08
Business Address
LYLE BEYER MASON M.D.
1708 STONE RIDGE CIR
BOUNTIFUL, UT 84010-1033
Phone number: 801-295-7604
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Mailing Address
LYLE BEYER MASON M.D.
1708 STONE RIDGE CIR
BOUNTIFUL, UT 84010-1033
Phone number: 801-295-7604
Copy
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