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1851498273
IMAD S FARRUKH
WEST JORDAN, UT
NPI
1851498273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: UT 1786741205)
Enumeration Date
2006-09-20
Last Update Date
2007-11-07
Business Address
-- IMAD S FARRUKH MD
3584 W 9000 S STE 201
WEST JORDAN, UT 84088-4773
Phone number: 801-568-0202
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Mailing Address
-- IMAD S FARRUKH MD
PO BOX 150173 ABS
OGDEN, UT 84415-0173
Phone number: 801-479-0601
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