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1730858655
COLLEEN MARIE MCDONOUGH
MURRAY, UT
NPI
1730858655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: UT 10071657-1109)
Enumeration Date
2021-09-13
Last Update Date
2021-09-13
Business Address
COLLEEN MARIE MCDONOUGH
243 E 6100 S
MURRAY, UT 84107-7302
Phone number: 801-581-2955
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Mailing Address
COLLEEN MARIE MCDONOUGH
7650 S CENTER SQ APT 404
MIDVALE, UT 84047-7651
Phone number: 801-664-2136
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