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1386802403
TODD POULSON
OGDEN, UT
NPI
1386802403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: UT 336746-4201)
Enumeration Date
2008-05-27
Last Update Date
2008-05-27
Business Address
-- TODD POULSON MSOTR/L
3430 HARRISON BLVD
OGDEN, UT 84403-1231
Phone number: 801-399-5609
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Mailing Address
-- TODD POULSON MSOTR/L
1071 W 275 S
LAYTON, UT 84041-5247
Phone number: 801-593-8136
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