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1265073910
CLARK JOHN BENTLEY
WOODS CROSS, UT
NPI
1265073910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: UT 150648)
Enumeration Date
2019-10-03
Last Update Date
2019-10-03
Business Address
CLARK JOHN BENTLEY RPH
614 W 2600 S
WOODS CROSS, UT 84087
Phone number: 801-299-2124
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Mailing Address
CLARK JOHN BENTLEY RPH
614 W 2600 S
WOODS CROSS, UT 84087
Phone number: 801-298-2124
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