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1699868851
MICHAEL J CROOKSTON
TAYLORSVILLE, UT
NPI
1699868851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: UT 166921-1205)
Enumeration Date
2006-10-02
Last Update Date
2010-11-17
Business Address
-- MICHAEL J CROOKSTON MD
5770 S 1500 W BLDG C
TAYLORSVILLE, UT 84123-5216
Phone number: 801-265-3049
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Mailing Address
-- MICHAEL J CROOKSTON MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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