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1619558277
PRASHANTH G. FENN
SALT LAKE CITY, UT
NPI
1619558277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 13509667-1205)
Enumeration Date
2021-04-15
Last Update Date
2023-08-03
Business Address
PRASHANTH G. FENN MD
375 S CHIPETA WAY RM 201
SALT LAKE CITY, UT 84108-1260
Phone number: 801-581-2121
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Mailing Address
PRASHANTH G. FENN MD
375 S CHIPETA WAY RM 201
SALT LAKE CITY, UT 84108-1260
Phone number: 801-581-2121
Copy
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