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1376612150
AMANDA JANE WIRTH
SALT LAKE CITY, UT
NPI
1376612150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 31067-88-1206)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
Dr. AMANDA JANE WIRTH M.D
4460 HIGHLAND DR STE 400
SALT LAKE CITY, UT 84124-3565
Phone number: 801-272-4111
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Mailing Address
Dr. AMANDA JANE WIRTH M.D
4460 HIGHLAND DR STE 400
SALT LAKE CITY, UT 84124-3565
Phone number: 801-272-4111
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