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1790050227
MARYN RISENMAY
SLC, UT
NPI
1790050227
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: UT 6432666-1701)
Enumeration Date
2012-03-16
Last Update Date
2012-03-16
Business Address
-- MARYN RISENMAY PharmD
1672 ROYCROFT PL APT A
SLC, UT 84124-2593
Phone number: 801-319-2794
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Mailing Address
-- MARYN RISENMAY PharmD
1672 ROYCROFT PL APT A
SLC, UT 84124-2593
Phone number:
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