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1730281478
THEODORE J WANDER
SALT LAKE CITY, UT
NPI
1730281478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: UT 1785551205)
Enumeration Date
2006-09-02
Last Update Date
2008-03-18
Business Address
-- THEODORE J WANDER MD
400 C ST
SALT LAKE CITY, UT 84143-1005
Phone number: 801-408-4782
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Mailing Address
-- THEODORE J WANDER MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-408-4782
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