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1184840597
G RICHARD ELLIS
BOUNTIFUL, UT
NPI
1184840597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 265444-1206)
Enumeration Date
2007-04-17
Last Update Date
2016-04-04
Business Address
-- G RICHARD ELLIS PA-C
520 MEDICAL DR SUITE #310
BOUNTIFUL, UT 84010-4968
Phone number: 801-397-3000
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Mailing Address
-- G RICHARD ELLIS PA-C
520 MEDICAL DR SUITE #310
BOUNTIFUL, UT 84010-4968
Phone number: 801-397-3000
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