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1518910108
JEFFREY S MCCLELLAN
PROVO, UT
NPI
1518910108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: UT 261367-1205)
Enumeration Date
2006-05-18
Last Update Date
2015-10-15
Business Address
-- JEFFREY S MCCLELLAN MD
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-373-7850
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Mailing Address
-- JEFFREY S MCCLELLAN MD
560W 800 N
OREM, UT 84057-3746
Phone number: 801-225-6246
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