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1831364249
TRAVIS SCOTT MICKELSON
SLC, UT
NPI
1831364249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: UT 6837701-1205)
Enumeration Date
2008-04-25
Last Update Date
2008-04-25
Business Address
Dr. TRAVIS SCOTT MICKELSON M.D.
DEPARTMENT OF PSYCHIATRY 30 N. 1900 E.
SLC, UT 84132-0001
Phone number: 801-581-7951
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Mailing Address
Dr. TRAVIS SCOTT MICKELSON M.D.
30 N 1900 E
SLC, UT 84132-0002
Phone number: 801-581-7951
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