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1164631461
RUSTIN RONALD ROSS
SALT LAKE CITY, UT
NPI
1164631461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: UT 373233-1205)
Enumeration Date
2007-05-22
Last Update Date
2012-12-05
Business Address
-- RUSTIN RONALD ROSS M.D.
389 S 900 E
SALT LAKE CITY, UT 84102
Phone number: 385-282-2000
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Mailing Address
-- RUSTIN RONALD ROSS M.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 385-282-2000
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