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1366114944
LIFE ELEVATED FAMILY MEDICINE & COUNSELING LLC
SALT LAKE CITY, UT
NPI
1366114944
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Entity Type
Organization
Authorized Contact
BROCK DAN HASKELL
Pa/Owner
435-830-0554
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2021-10-01
Last Update Date
2021-10-01
Business Address
LIFE ELEVATED FAMILY MEDICINE & COUNSELING LLC
3686 W. 2100 S.
SALT LAKE CITY, UT 84120-8412
Phone number: 435-830-0554
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Mailing Address
LIFE ELEVATED FAMILY MEDICINE & COUNSELING LLC
2561 S 1560 W STE B
WOODS CROSS, UT 84087-2361
Phone number: 801-505-0821
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