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1578864369
CARLOS AUGUSTO MIJARES
SOUTH JORDAN, UT
NPI
1578864369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: UT 7210693-1702)
Enumeration Date
2010-11-09
Last Update Date
2010-11-09
Business Address
-- CARLOS AUGUSTO MIJARES Pharmacy intern
10920 RIVER FRONT PKWY
SOUTH JORDAN, UT 84095-3538
Phone number: 801-302-2600
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Mailing Address
-- CARLOS AUGUSTO MIJARES Pharmacy intern
1750 S 1400 E C/O MARK DALLIN
SPANISH FORK, UT 84660-9704
Phone number: 801-787-6828
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