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1558612176
CLINT C IVIE
AMERICAN FORK, UT
NPI
1558612176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: UT 7362710-1701)
Enumeration Date
2012-09-21
Last Update Date
2012-09-21
Business Address
-- CLINT C IVIE RPh
608 W MAIN ST
AMERICAN FORK, UT 84003-9762
Phone number: 801-756-5997
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Mailing Address
-- CLINT C IVIE RPh
608 W MAIN ST
AMERICAN FORK, UT 84003-9762
Phone number: 801-756-5997
Copy
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