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1235449984
KEYHAN KOOHGIVI
SALT LAKE CITY, UT
NPI
1235449984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1835G0303X Pharmacist, Geriatric
(Licence: UT 131944-1701)
Enumeration Date
2010-10-15
Last Update Date
2010-10-15
Business Address
-- KEYHAN KOOHGIVI RPH
2566 EAST SAGE WAY
SALT LAKE CITY, UT 84109
Phone number: 801-557-3889
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Mailing Address
-- KEYHAN KOOHGIVI RPH
2566 EAST SAGE WAY
SALT LAKE CITY, UT 84109
Phone number: 801-557-3889
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