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1639490576
JUSTIN L. MELLOTT
LAYTON, UT
NPI
1639490576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 9428298-1204)
Enumeration Date
2010-06-15
Last Update Date
2021-09-21
Business Address
JUSTIN L. MELLOTT D.O.
2075 UNIVERSITY PARK BLVD
LAYTON, UT 84041-1611
Phone number: 801-786-7500
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Mailing Address
JUSTIN L. MELLOTT D.O.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 480-580-4452
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