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1851439251
MARK LEGRAND MANGELSON
SALT LAKE CITY, UT
NPI
1851439251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: UT 1439699922)
Enumeration Date
2007-02-01
Last Update Date
2007-07-08
Business Address
-- MARK LEGRAND MANGELSON DDS, MS
4010 S 700 E STE 8
SALT LAKE CITY, UT 84107-2573
Phone number: 801-266-3519
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Mailing Address
-- MARK LEGRAND MANGELSON DDS, MS
4010 S 700 E STE 8
SALT LAKE CITY, UT 84107-2573
Phone number: 801-266-3519
Copy
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