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1144200155
LORELL B FAWSON
OGDEN, UT
NPI
1144200155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: UT 1030720501)
Enumeration Date
2006-01-18
Last Update Date
2007-12-04
Business Address
LORELL B FAWSON DPM
3590 HARRISON BLVD G1
OGDEN, UT 84403
Phone number: 801-627-2122
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Mailing Address
LORELL B FAWSON DPM
3590 HARRISON BLVD G1
OGDEN, UT 84403
Phone number: 801-627-2122
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