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1790314433
MISHA FOTOOHI
SALT LAKE CITY, UT
NPI
1790314433
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT v)
Enumeration Date
2020-04-04
Last Update Date
2021-09-15
Business Address
MISHA FOTOOHI
375 S CHIPETA WAY STE A
SALT LAKE CITY, UT 84108-1261
Phone number: 801-581-8250
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Mailing Address
MISHA FOTOOHI
375 S CHIPETA WAY STE A
SALT LAKE CITY, UT 84108-1261
Phone number: 801-581-8250
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