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1184631525
ROBERT LOUIS BANNATYNE STEVENSON
LOGAN, UT
NPI
1184631525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: UT 376947-4101)
Enumeration Date
2006-08-01
Last Update Date
2007-07-09
Business Address
-- ROBERT LOUIS BANNATYNE STEVENSON Clinical Audiologist
293 S MAIN ST
LOGAN, UT 84321-5203
Phone number: 435-753-4133
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Mailing Address
-- ROBERT LOUIS BANNATYNE STEVENSON Clinical Audiologist
293 S MAIN ST
LOGAN, UT 84321-5203
Phone number: 435-753-4133
Copy
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