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1255191987
MARK LAVERING
SALT LAKE CITY, UT
NPI
1255191987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-20
Last Update Date
2024-03-20
Business Address
MARK LAVERING MD
30 N 1900 E RM 3C444
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-6393
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Mailing Address
MARK LAVERING MD
30 N 1900 E RM 3C444
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-6393
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