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1750373247
JACK W CROSLAND
OGDEN, UT
NPI
1750373247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: UT 159595-1205)
Enumeration Date
2005-08-19
Last Update Date
2011-11-22
Business Address
-- JACK W CROSLAND MD
2240 ADAMS AVE
OGDEN, UT 84401-1511
Phone number: 801-393-5355
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Mailing Address
-- JACK W CROSLAND MD
2240 ADAMS AVE
OGDEN, UT 84401-1511
Phone number: 801-393-5355
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