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1467605147
FATIMA GANGOTENA-BERNARD
SALT LAKE CITY, UT
NPI
1467605147
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Former Name
FATIMA GANGOTENA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: UT 7748728-1205)
Enumeration Date
2008-10-28
Last Update Date
2016-09-01
Business Address
-- FATIMA GANGOTENA-BERNARD MD
144 S 500 E
SALT LAKE CITY, UT 84102-1907
Phone number: 801-783-5011
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Mailing Address
-- FATIMA GANGOTENA-BERNARD MD
144 S 500 E
SALT LAKE CITY, UT 84102-1907
Phone number: 801-783-5011
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