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1104386580
JORDAN B. FENLON
SALT LAKE CITY, UT
NPI
1104386580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: UT 11899051-1205)
Enumeration Date
2019-03-22
Last Update Date
2020-08-21
Business Address
JORDAN B. FENLON MD
1950 CIRCLE OF HOPE DR RM 1570
SALT LAKE CITY, UT 84112-5500
Phone number: 801-581-8781
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Mailing Address
JORDAN B. FENLON MD
1950 CIRCLE OF HOPE DR RM 1570
SALT LAKE CITY, UT 84112-5500
Phone number: 801-581-8781
Copy
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