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1164580197
GERALD PARKER POULSEN
TAYLORSVILLE, UT
NPI
1164580197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: UT 131024-9921)
Enumeration Date
2006-12-04
Last Update Date
2007-07-08
Business Address
Dr. GERALD PARKER POULSEN D.D.S.
3105 W 5400 S
TAYLORSVILLE, UT 84118-2200
Phone number: 801-969-6236
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Mailing Address
Dr. GERALD PARKER POULSEN D.D.S.
3105 W 5400 S
TAYLORSVILLE, UT 84118-2200
Phone number: 801-969-6236
Copy
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