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1447226717
JOHN R DIETLEIN
SALT LAKE CITY, UT
NPI
1447226717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QG0300X Family Medicine Geriatric Medicine
(Licence: UT 83-169963-1205)
Enumeration Date
2006-02-27
Last Update Date
2007-10-19
Business Address
DR. JOHN R DIETLEIN M.D.
6886 HOLLOW MILL DR
SALT LAKE CITY, UT 84121-3322
Phone number: 801-944-0095
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Mailing Address
DR. JOHN R DIETLEIN M.D.
PO BOX 712270
SALT LAKE CITY, UT 84171-2270
Phone number: 801-944-0095
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