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1104182476
JEFFREY DAVID SPARENBORG
PROVO, UT
NPI
1104182476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: UT 10386883-1205)
Enumeration Date
2012-04-11
Last Update Date
2017-07-08
Business Address
-- JEFFREY DAVID SPARENBORG M.D.
1157 N 300 W STE 301
PROVO, UT 84604-6124
Phone number: 801-357-7009
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Mailing Address
-- JEFFREY DAVID SPARENBORG M.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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