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1417938325
HUGO G ALTAMIRANO
PROVO, UT
NPI
1417938325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: UT 50191281205)
Enumeration Date
2005-11-08
Last Update Date
2007-11-06
Business Address
Dr. HUGO G ALTAMIRANO M.D.
745 N 500 W #200
PROVO, UT 84601-1472
Phone number: 801-375-9292
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Mailing Address
Dr. HUGO G ALTAMIRANO M.D.
745 N 500 W #200
PROVO, UT 84601-1472
Phone number: 801-375-9292
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