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1538253372
CHARLES GREGORY ELLIOTT
SALT LAKE CITY, UT
NPI
1538253372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: UT 160034-1205)
Enumeration Date
2006-10-03
Last Update Date
2008-03-18
Business Address
-- CHARLES GREGORY ELLIOTT
8TH AVE C ST
SALT LAKE CITY, UT 84143-0001
Phone number: 801-408-1875
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Mailing Address
-- CHARLES GREGORY ELLIOTT
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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