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1710643549
GOOD SHEPHERD MEDICAL GROUP
WEST JORDAN, UT
NPI
1710643549
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Entity Type
Organization
Authorized Contact
NATHANIEL LEFEVOR
Administrator
801-574-9566
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2021-11-16
Last Update Date
2021-11-16
Business Address
GOOD SHEPHERD MEDICAL GROUP
3584 W 9000 S STE 300
WEST JORDAN, UT 84088-5711
Phone number: 801-277-6474
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Mailing Address
GOOD SHEPHERD MEDICAL GROUP
3584 W 9000 S STE 300
WEST JORDAN, UT 84088-5711
Phone number: 801-277-6474
Copy
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