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1558766477
JORDAN VALLEY DERMATOLOGY CENTER LLC
WEST JORDAN, UT
NPI
1558766477
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Entity Type
Organization
Authorized Contact
WESLEY R BROWN
Owner
801-569-1456
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: UT 1756931205)
Enumeration Date
2014-11-04
Last Update Date
2014-11-04
Business Address
JORDAN VALLEY DERMATOLOGY CENTER LLC
3570 W 9000 S
WEST JORDAN, UT 84088-8869
Phone number: 801-569-1456
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Mailing Address
JORDAN VALLEY DERMATOLOGY CENTER LLC
3570 W 9000 S
WEST JORDAN, UT 84088-8869
Phone number: 801-569-1456
Copy
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