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1598919060
CLARENCE RICHARD HENRIKSEN
SALT LAKE CITY, UT
NPI
1598919060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 7152595-1205)
Enumeration Date
2008-11-11
Last Update Date
2008-11-11
Business Address
Dr. CLARENCE RICHARD HENRIKSEN MD
375 CHIPETA WAY STE A
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-8000
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Mailing Address
Dr. CLARENCE RICHARD HENRIKSEN MD
375 CHIPETA WAY STE A
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-8000
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