LARRY G WILDE

AMERICAN FORK, UT
NPI1770515934
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: UT  290149-1202)
Enumeration Date2006-07-07
Last Update Date2007-07-08
Business Address
Dr. LARRY G WILDE D.C.
246 S 1100 E
AMERICAN FORK, UT 84003-2829
Phone number: 890-175-6883
Mailing Address
Dr. LARRY G WILDE D.C.
219 E 1550 N
PLEASANT GROVE, UT 84062-9003
Phone number: 801-785-6784
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