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1649894692
RICHARD JOHN
LOGAN, UT
NPI
1649894692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 13421605-8904)
Enumeration Date
2020-06-05
Last Update Date
2023-11-06
Business Address
RICHARD JOHN DO
1350 N 500 E
LOGAN, UT 84341-2400
Phone number: 208-234-4700
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Mailing Address
RICHARD JOHN DO
1350 N 500 E
LOGAN, UT 84341-2400
Phone number:
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