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1669425146
L. SCOTT VANWAGONER
AMERICAN FORK, UT
NPI
1669425146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: UT 359724)
Enumeration Date
2006-05-18
Last Update Date
2010-02-11
Business Address
-- L. SCOTT VANWAGONER DO
170 NORTH 1100 EAST
AMERICAN FORK, UT 84003
Phone number: 801-714-6570
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Mailing Address
-- L. SCOTT VANWAGONER DO
PO BOX 430
SALT LAKE CITY, UT 84660-0430
Phone number: 866-898-7136
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