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1770102899
ERICA T MENINNO
MIDVALE, UT
NPI
1770102899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 13214887-1205)
Enumeration Date
2020-04-09
Last Update Date
2023-06-15
Business Address
ERICA T MENINNO MD
220 W 7200 S STE A
MIDVALE, UT 84047-1043
Phone number: 801-566-5494
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Mailing Address
ERICA T MENINNO MD
2621 S 3270 W
WEST VALLEY CITY, UT 84119-1119
Phone number: 852-612-6143
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