FAXON D MOULDER

PLEASANT GROVE, UT
NPI1427137371
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: UT  2774319-41202)
Enumeration Date2006-11-03
Last Update Date2007-07-08
Business Address
Dr. FAXON D MOULDER D.C.
66 E STATE RD
PLEASANT GROVE, UT 84062-2637
Phone number: 801-796-7961
Mailing Address
Dr. FAXON D MOULDER D.C.
66 E STATE RD
PLEASANT GROVE, UT 84062-2637
Phone number: 801-796-7961
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