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1164887212
LUAT DINH PHAN
SALT LAKE CITY, UT
NPI
1164887212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 39360)
Enumeration Date
2015-12-16
Last Update Date
2015-12-16
Business Address
-- LUAT DINH PHAN
500 FOOTHILL BLVD ATTENTION: 119
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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Mailing Address
-- LUAT DINH PHAN
500 FOOTHILL BLVD ATTENTION: 119
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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