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1245863893
CENTRAL UTAH DERMATOLOGY
RICHFIELD, UT
NPI
1245863893
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Entity Type
Organization
Authorized Contact
SEALTIEL A TINAJERO
President
435-531-6269
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2020-02-21
Last Update Date
2020-02-21
Business Address
CENTRAL UTAH DERMATOLOGY
861 N MAIN
RICHFIELD, UT 84701
Phone number: 435-896-4298
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Mailing Address
CENTRAL UTAH DERMATOLOGY
861 N MAIN
RICHFIELD, UT 84701
Phone number: 435-896-4298
Copy
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SEALTIEL ADRIAN TINAJERO