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1174056758
ANDREW DANIEL FONTES
SALT LAKE CITY, UT
NPI
1174056758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0203X Pediatrics, Pediatric Critical Care Medicine
(Licence: UT 11709353-1204)
Enumeration Date
2017-04-10
Last Update Date
2020-06-05
Business Address
ANDREW DANIEL FONTES D.O.
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1287
Phone number: 801-587-7572
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Mailing Address
ANDREW DANIEL FONTES D.O.
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1287
Phone number: 801-587-7572
Copy
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