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1578100186
124 SOUTH FAIRFIELD LLC
LAYTON, UT
NPI
1578100186
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Entity Type
Organization
Authorized Contact
ERIC MANSELL
Manager
801-791-2202
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2019-12-02
Last Update Date
2020-09-11
Business Address
124 SOUTH FAIRFIELD LLC
124 S FAIRFIELD RD STE B
LAYTON, UT 84041-7106
Phone number: 801-719-2316
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Mailing Address
124 SOUTH FAIRFIELD LLC
124 S FAIRFIELD RD STE B
LAYTON, UT 84041-7106
Phone number: 801-719-2316
Copy
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