KELLY DIESTERHAFT

SALT LAKE CITY, UT
NPI1710254875
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: UT  7317273-1701)
Enumeration Date2011-11-17
Last Update Date2011-11-17
Business Address
Dr. KELLY DIESTERHAFT PharmD
3730 W 4700 S
SALT LAKE CITY, UT 84129-3457
Phone number: 801-213-9200
Mailing Address
Dr. KELLY DIESTERHAFT PharmD
3730 WEST 4700 SOUTH
WEST VALLEY CITY, UT 84118
Phone number: 801-213-9200
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