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1447621685
LEGACY MEDICAL GROUP, LLC
TAYLORSVILLE, UT
NPI
1447621685
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Entity Type
Organization
Authorized Contact
KRISTINA MOSLEY-CARTER
Executive Director
801-833-0000
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2015-10-14
Last Update Date
2015-11-09
Business Address
LEGACY MEDICAL GROUP, LLC
1020 W ATHERTON DR SUITE 220
TAYLORSVILLE, UT 84123-3470
Phone number: 801-833-0000
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Mailing Address
LEGACY MEDICAL GROUP, LLC
1020 W ATHERTON DR SUITE 220
TAYLORSVILLE, UT 84123-3470
Phone number: 801-833-0000
Copy
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