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1386675627
RANDALL R FILLMORE
WEST JORDAN, UT
NPI
1386675627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 1773791205)
Enumeration Date
2006-07-05
Last Update Date
2013-05-13
Business Address
-- RANDALL R FILLMORE MD
2751 W 9000 SOUTH
WEST JORDAN, UT 84088
Phone number: 801-352-5900
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Mailing Address
-- RANDALL R FILLMORE MD
3725 W 4100 SOUTH
WEST VALLEY CITY, UT 84120
Phone number: 801-965-3600
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