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1477571065
TODD DALE LYTHGOE
BOUNTIFUL, UT
NPI
1477571065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 8092052-1206)
Enumeration Date
2006-07-18
Last Update Date
2017-01-17
Business Address
-- TODD DALE LYTHGOE PA-C
1560 RENAISSANCE TOWNE DR SUITE 210
BOUNTIFUL, UT 84010-7680
Phone number: 801-397-6100
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Mailing Address
-- TODD DALE LYTHGOE PA-C
PO BOX 5546
DENVER, CO 80217-5546
Phone number: 801-397-6100
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