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1124503396
WESLEY SHAYNE BOTT
PAYSON, UT
NPI
1124503396
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Entity Type
Organization
Authorized Contact
WESLEY S BOTT
Owner
801-798-7301
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2018-10-03
Last Update Date
2019-02-25
Business Address
WESLEY SHAYNE BOTT
238 E 400 S
PAYSON, UT 84651-5735
Phone number: 801-658-9094
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Mailing Address
WESLEY SHAYNE BOTT
238 E 400 S
PAYSON, UT 84651-5735
Phone number: 801-658-9094
Copy
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