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1477096667
LUCAS JOHN RUDELICH
TAYLORSVILLE, UT
NPI
1477096667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 10165628-9922)
Enumeration Date
2016-11-21
Last Update Date
2016-11-21
Business Address
DR. LUCAS JOHN RUDELICH DDS
5255 S 4015 W SUITE #180
TAYLORSVILLE, UT 84129-4257
Phone number: 801-968-9003
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Mailing Address
DR. LUCAS JOHN RUDELICH DDS
5255 S 4015 W SUITE #180
TAYLORSVILLE, UT 84129-4257
Phone number: 801-968-9003
Copy
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