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1114606969
PHILIP OWEN
SLC, UT
NPI
1114606969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: UT 37429)
Enumeration Date
2023-07-17
Last Update Date
2024-01-23
Business Address
PHILIP OWEN
30 N 1900 E DEPT OF
SLC, UT 84132-0002
Phone number: 801-587-1771
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Mailing Address
PHILIP OWEN
230 E BROADWAY APT 807
SLC, UT 84111-2450
Phone number: 385-301-6578
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