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1225060478
TALMAGE LEE BOURNE
WEST VALLEY CITY, UT
NPI
1225060478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 1538921205)
Enumeration Date
2006-07-07
Last Update Date
2013-05-13
Business Address
-- TALMAGE LEE BOURNE MD
3725 W 4100 SOUTH
WEST VALLEY CITY, UT 84120
Phone number: 801-965-3600
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Mailing Address
-- TALMAGE LEE BOURNE MD
3725 W 4100 SOUTH
WEST VALLEY CITY, UT 84120
Phone number: 801-965-3600
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