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1750728176
MAIN STREET CLINIC LLC
MANTI, UT
NPI
1750728176
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Entity Type
Organization
Authorized Contact
LAUREN LINN MILLER
Owner
435-835-6000
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: UT 2158984405)
Enumeration Date
2013-05-24
Last Update Date
2013-05-24
Business Address
MAIN STREET CLINIC LLC
46 N MAIN ST
MANTI, UT 84642-1254
Phone number: 435-835-6000
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Mailing Address
MAIN STREET CLINIC LLC
46 N MAIN ST
MANTI, UT 84642-1254
Phone number: 435-835-6000
Copy
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