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1679840334
DAVID LEE DEHERRERA
SALT LAKE CITY, UT
NPI
1679840334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: UT 274426-1701)
Enumeration Date
2011-11-23
Last Update Date
2011-11-23
Business Address
-- DAVID LEE DEHERRERA rph
5630 W 4100 S
SALT LAKE CITY, UT 84128-4338
Phone number: 801-840-5155
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Mailing Address
-- DAVID LEE DEHERRERA rph
5630 W 4100 S
SALT LAKE CITY, UT 84128-4338
Phone number: 801-840-5155
Copy
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